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2009 WAGA Event Registration

Questions? Call (800) 722-3120 / (920) 478-9586 (Fax)

Name(s) __________________________________________________________________

Orchard/Business ___________________________________________________________

Address __________________________________________________________________

City ______________________________ State ___________  ZIP ___________________

Phone ____________________________ Email ___________________________________

 Summer Field Day (Wednesday, July 15th, Cain's Orchard, Hixton) 

______ (qty) WAGA/WATA Members*: $25.00 each person       TOTAL: _____________

______ (qty) Non-Members: $37.00 each person                           TOTAL: _____________

Print this form and mail with check to:                       TOTAL AMOUNT DUE: _____________
WAGA, 211 Canal Rd., Waterloo, WI   53594

*Must be current member of Wisconsin Apple Growers, Wisconsin Agricultural Tourism Assn, Wisconsin Berry Growers, Wisconsin Fresh Market Vegetable Growers,
 or Wisconsin Grape Growers Associations.  Questions, please call (920) 478-4277.

Price includes refreshments and lunch.

Optional:  Include ______ in the Sand Creek Brewery Tour.  (So we can let them know how many to expect.)
                  Include ______ for dinner at Skyline Golf Club that night. (Dutch-treat)

You May Charge on Your MasterCard or VISA if you wish...
Name on Card:  

 
Card Number:  

 
Expiration Date:  

3 Digit Security Code:

  

Please register by July 11th so that we may have an accurate count for lunch.