FARM Gathering Registration

Please complete all information below as applicable. Once you submit this form you will be given the option to print and mail in your check or pay via Paypal.

About You

( * = Required Fields )

The FARM program will include a complete attendee directory using the contact information entered below. We also provide an attendee list on our website that includes only name, city, state, website and description fields. If you opt out you will not be listed in either directory.

  , you may include my information in the FARM program and website.
  , please do not include my information in the FARM program and website.


The following information is optional but will help us better understand our conference demographic and learn where we need to broaden our recruiting efforts.






YES: Please enter your Membership ID
NO: Non-FA members will be charged a $20 fee.

Conference Registration and Breakfast Options

ALL conference registrations INCLUDE Friday and Saturday Night Dinners, EXCEPT for Day registrations which include one dinner.

REGISTRATION  (Select one)

Super Early Bird rates in effect through April 30th

Enter Discount / Comp Code:
(You must also make a registration selection above)

BREAKFAST  (Select all that apply)

Breakfast is offered Friday, Saturday and Sunday for an additional fee.
One Breakfast = $25, Two = $45, Three = $60


Food Preferences and Dietary Restrictions

other (please enter additional details in comments section at the end of this form)

Additional items for your consideration

For your convenience you may also purchase your sponsorship, program ad or tote bag insert at the same time.

(for more information visit our Sponsor Page. It will open in a new window so you can easily navigate right back here and not lose your place) If you elect to become a sponsor you will be contacted by our FARM President to arrange your advertising.




* NEW! Website banner ads are available at the FARM Store (will open in new window)

STEP 5 | Comments and Confirm
Please enter any additional comments or special instructions below

Once you press Confirm you will have a chance to verify your entries and make changes if necessary. Then you will Submit your registration on the next page. At which point you will be prompted to either print and mail in your check or pay for your registration via Paypal. Please don't hesitate to contact us if you have any questions or problems with this process.

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