This is a list of the information needed to complete ONLINE REGISTRATION which opens at 10:00 a.m. EDT on Thursday, May 12, 2016.

Please note that you will register one attendee at a time.  The registration confirmation will be sent to the attendee's e-mail address.  The registrant is required to provide an alternate e-mail address for the confirmation to be e-mailed to a county Farm Bureau representative (such as the county secretary).

Payment may be made by Credit Card or by Check (to be mailed to Kentucky Farm Bureau Federation the same day).

Tour seating is limited and available on a first come, first served basis. The non-refundable registration fee includes bus transportation, hotel rooms (room and tax only), group meals, and snacks.  One dinner and one breakfast will be on the participant’s expense while we are in Holland, Michigan.  Participants will be responsible for any additional expenses caused by travel delays including weather-related problems.  If the 2016 Roadside Farm Market Tour is officially cancelled, a refund is possible minus any penalties or non-refundable expenses that apply.

Registration Type - Choose One

Single Non-Member Hotel Room & Registration - $700

Double Non-Member Hotel Room & Registration (1 BED) - $475

  * Double occupancy rate is Per Person

Double Non-Member Hotel Room & Registration (2 BEDS) - $475

  * Double occupancy rate is Per Person

Single Member Hotel Room & Registration - $650

Double Member Hotel Room & Registration (1 BED) - $425

  * Double occupancy rate is Per Person

Double Member Hotel Room & Registration (2 BEDS) - $425

  * Double occupancy rate is Per Person

KFB Certified Roadside Farm Market participants receive up to two discounted registrations for the tour, a $100 value.

Attendee Information

First and Last Name

Name Badge First Name

County

Farm Market Name (if applicable)

Mailing Address (Street, City, State, Zip Code)

Attendee E‐Mail Address   

Alternate E‐Mail Address

Mobile Phone Number                              

Home Phone Number

Emergency Contact Information

Emergency Contact - Name

Emergency Contact - Relationship

Emergency Contact - Home Phone        

Emergency Contact - Mobile Phone

Travel Preferences

Name of person, if known, with whom you wish to room

Dietary/Special Needs