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Quarterly Meeting and Legislative Day 2023
First Name
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Last Name
(Required)
Nickname on badge (First name only)
(Required)
Cooperative
(Required)
ANEC
BARC
Central Virginia
Choptank
Community
Craig-Botetourt
Delaware
Mecklenburg
Northern Neck
Northern Virginia
Powell Valley
Prince George
Rappahannock
Shenandoah Valley
Southside
Other
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(Required)
Email
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Cell Phone
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Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
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In case of emergency, please provide the following:
Emergency Contact Name
Emergency Contact Phone
Please select which events you will attend
GA Committee Meeting
GA Committee Meeting
VMD Board Meeting
VMD Board Meeting
ACRE Awards Lunch
ACRE Awards Lunch
Legislative Briefing
Legislative Briefing
Co-op Legislative Reception
Co-op Legislative Reception
Tuesday - Coffee Reception & Legislative Briefing
Tuesday - Coffee Reception & Legislative Briefing
Tuesday Breakfast Program
Tues.Breakfast Program
Event Fee
(Required)
+ $175.00
Event Fee
(Required)
+ $50.00
Event Fee
(Required)
+ $50.00
2023 Quarterly Meeting and Legislative Day
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