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2022 VMDAEC Annual Meeting Registration test copy
Cooperative or Company Name
(Required)
First Name
(Required)
Last Name
(Required)
Nickname on badge (First name only)
(Required)
Email
(Required)
Cell Phone
(Required)
Office Phone
In case of emergency, please provide the following:
Emergency Contact Name
Emergency Contact Phone
Please select one of following. I am
(Required)
A cooperative employee/director ($50)
A cooperative employee’s/director’s guest ($50)
An Associate Member employee ($50)
An Associate Member employee’s guest ($50)
A Business Partner employee ($50)
A Business Partner employee’s guest ($50)
Other ($50)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Other
(Required)
Participate in Golf Tournament?
Yes
Associate Members receive one complimentary golf tournament registration.
To redeem, use code
FREEGOLF2022
at checkout.
My handicap is
Please pair me with the following golfers:
Golfer Name 2
Golfer Name 3
Golfer Name 4
Mulligans will be available at registration for $10.00 each with a limit of two per person. Mulligan proceeds benefit the Association's Education Scholarship Foundation. Donations accepted.
Please select which events you will attend
Sunday Hospitality
Sunday Hospitality
Monday Group Breakfast
Monday Group Breakfast
Monday Government Affairs Committee Breakfast
Monday Government Affairs Committee Breakfast
VMDAEC Annual Members Meeting & Board of Directors Meeting
VMDAEC Annual Members Meeting & Board of Directors Meeting
Monday General Sessions
Monday General Sessions
Monday Awards Lunch
Monday Awards Lunch
Monday Reception
Monday Reception
Monday Dinner
Monday Dinner
Tuesday Breakfast
Tuesday Breakfast
ODEC Board Meeting
ODEC Board Meeting
*** ALL GUESTS, including children must be registered for all events in which they are participating. ***
Please provide any dietary restrictions
Additional Comments
2022 VMDAEC Annual Meeting Registration
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