FacebookThis field is for validation purposes and should be left unchanged.Member Type(Required) ODEC Member ($150) VMDAEC Member ($250) Non member, non-co-op ($350) ODEC Member Price: VMDAEC Member Price: Non member, non-co-op Price: This field is hidden when viewing the formAre you wanting to register additional members?(Required) Yes No Additional ODEC Members Price: Additional VMDAEC Members Price: Additional Non member, non-co-op Price: Quantity(Required)Please enter a number from 1 to 10.Quantity(Required)Please enter a number from 1 to 10.Quantity(Required)Please enter a number from 1 to 10.Please list FIRST NAME as it should appear on their NAMETAG(Required)Please list FIRST NAME as it should appear on their NAMETAG(Required)Please list FIRST NAME as it should appear on their NAMETAG(Required)Please list FIRST NAME as it should appear on their NAMETAG(Required)Please list FIRST NAME as it should appear on their NAMETAG(Required)Please list FIRST NAME as it should appear on their NAMETAG(Required)Please list FIRST NAME as it should appear on their NAMETAG(Required)Please list FIRST NAME as it should appear on their NAMETAG(Required)Please list FIRST NAME as it should appear on their NAMETAG(Required)Please list FIRST NAME as it should appear on their NAMETAG(Required)Member DetailsName(Required) First Last Organization(Required)Email(Required) Phone # where you can be reached during the event(Required)Please list your FIRST NAME as it should appear on your NAMETAG(Required)Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Name and contact information of someone that can be reached on your behalf, in case of an emergency.Please tell us if you have any dietary restrictions or needs(Required)Do you have any ADA Compliance Needs? Yes No Is this your first Cooperative Exchange Conference? Yes, and I'm excited to be here! No, I'm returning because I loved it so much! Let us know which activities and dates you plan to join us for.Please check all that apply Meet N Greet (Wednesday evening) Conference Breakfast (Thursday) Afternoon Break (Thursday) Conference Lunch (Thursday) Conference Reception (Thursday) Conference Breakfast (Friday) Morning Break (Friday) Are you bringing a guest to the conference reception? (Guest Fee $25)(Required) Yes No Guest Fee Price: Quantity(Required)Please enter a number from 0 to 10.Glad you will be joining us! Please let us know a preferred payment method, and we will send an invoice / link to pay.(Required) Check or ACH Credit Card (+3.5% fee) Credit Card Credit Card Fee Price: Total
