Title - Annual Meeting

Annual Meeting


2011 Florida Farm Bureau Annual Meeting Registration Form

Registration Postmarked Deadline: September 9, 2011

The Peabody Orlando – Orlando, FL
October 6 – 8, 2011

The deadline to reserve a room and be guaranteed our group rate of $179 (single or double occupancy) is September 9th, 2011.
Hotel reservations can be made by calling the hotel directly at 1-800-PEABODY (1-800-732-2639). Please be sure to ask for the Florida Farm Bureau group when reserving your hotel room.

* Marked fields are required.

Personal Information
First Last
Name: *
Name of Spouse:
Name(s) of children 12 and older attending:
Name(s) of children under 12 attending:
Address: *
City: *
State: *
Zip Code: *
County: *
Phone Number: *
Email Address: *
Please note any special accommodations that must be made including any specific dietary needs

PAYMENT INFORMATION: You may register for the entire conference or for individual days separately.

Registration Type Per Person Fee Number of People Total Amount
Full Adult Registration $145.00
Full Child (under 12) Registration $80.00
Single Day Adult Registration $95.00
Single Day Child Registration $65.00
TOTAL

MEAL FUNCTIONS: Please check the meal functions that you plan to attend.

Date Event
Thursday PM (10/6) Women’s Reception & Annual Meeting
Thursday PM (10/6) FedPAC Reception
Friday AM (10/7) Member Breakfast
Friday PM (10/7) FarmPAC Luncheon
Friday PM (10/7) President’s Celebration & Awards Ceremony
Saturday AM (10/8) Commissioner of Agriculture Environmental Leadership Award Breakfast

PLEASE NOTE:
Make checks payable to Florida Farm Bureau and return along with registration forms to:
Florida Farm Bureau Annual Meeting
Attn: Shaun Fulford
P.O. Box 147030
Gainesville, FL 32614-7030

Refunds for cancellations will only be granted if notification is given on or before September 9, 2011

For further assistance, please contact Shaun Fulford
Phone: (352) 378-8100 ext. 1030
Email: Shaun.Fulford@ffbf.org