2003 Healthy Farms Conference Registration Form

Return to NSAS, c/o Tami Highstreet, 2766 E St., Lincoln, NE 68508

Join NSAS and reduce your conference registration fees!  Members receive the membership directory and 6 newsletters annually.

Name: Business:
Address: City:
State: Zip:
Phone:  

Please check one:

Membership:

    _____$35 Basic    _____$50 Sustainer    _____$100 Steward    _____$250 Benefactor

Conference Registration Fees:       

Member Full Registration (2 days) $70
Non-member Full Registration (2 days) $90
Member Daily $45
Non-member Daily $50
Student Full Registration (2 days) $40
Student Daily $25

List all persons attending:   

Name Full Registration$ Friday Only $ Saturday Only $ Total $
         
         
         
         

Total Conference Fees plus Membership (if applicable): $________

Make checks payable to NSAS