2012 Maple Conference at Hyde Park and Bellows Falls schools

First Name:
Last Name:
Email:
Phone:
	Mailing Address
Address:
City:
State:
Zip:

Pre-Registration is $20 per person if postmarked by Jan 7, 2012.
$30 per person at the door.
$5 discount for current FFA/4H member/youth (under 18).
Please Note: Registration fee DOES NOT include lunch.

Please indicated the site(s) you wish to attend:

Hyde Park 1/21/2012

01234567891011 Adults x $20.00
01234567891011 Youths x $15.00
01234567891011 Meals x $16.00
Name(s) attending:

Bellows Falls 2/4/2012

01234567891011 Adults x $20.00
01234567891011 Youths x $15.00
01234567891011 Meals x $14.00
Name(s) attending: