Farm or Business:
First Name:	*	Last Name: *
Spouse/Guests:	Use Comma to separate names

Address:	*
City:	*	State: * Zip: *
Phone:	*
Email:	*
Comments:

State Affiliation:
State PromoCode:

Conference registration cancellations will be accepted through October 25th, and refunds, less $25 per person administrative fee, will be granted upon written request through this date. No refunds will be granted after November 5, 2023.

Full Registration	Includes Registration for Tuesday, Wednesday, Thursday meetings & all meals
	Regular Registration	# Attending: Price: $225.00 each
	Spouse Registration	# Attending: Price: $225.00 each
	Non Member Registration	# Attending: Price: $350.00 each

Single Day Registration
	Wednesday (Member)	# Attending: Price: $160.00 each
	Thursday (Member)	# Attending: Price: $160.00 each
	Wednesday (Non Member)	# Attending: Price: $215.00 each
	Thursday (Non Member)	# Attending: Price: $215.00 each

Dinner & Auction	Heads & Tails Auction Fundraiser
		# Attending: Price: $10 per person

Additional Meals	Available only with a full registration
	Individual Breakfast	# Attending: Price: $35 per person
	Individual Lunch	# Attending: Price: $45 per person
	State Banquet	# Attending: Price: $65 per person
	Dinner & Auction	# Attending: Price: $75 per person

Which meals will you attend?	For Head Count Purposes
	National Organization Update Breakfast (Wed) Luncheon - Tri-State (Wed) Oregon Banquet (Wed) Idaho Banquet (Wed) Washington Banquet (Wed) Opening Breakfast (Thurs) Luncheon (Thurs) Dinner & Auction (Thurs)

Indicate all that apply:
	Executive Committee Committee Chairperson Wheat Foundation 15x40 Attendee WA Lifetime Member Speaker Exhibitor Sponsor Past President State Officer County President Board Member	Idaho Wheat Commissioner Idaho Barley Commissioner Oregon Wheat Commissioner Washington Grain Commissioner Past Idaho Wheat Commissioner Past Idaho Barley Commissioner Past Oregon Wheat Commissioner Past Washington Wheat Commissioner Past Washington Barley Commissioner
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