Dairy Farmers of New Brunswick
50th AGM and Banquet
Name
*
First Name
Last Name
Email
*
example@example.com
I am a
*
Producer
Delegate
Provincial Representative or Guest Speaker
Exhibitor
Guest
DFNB Staff
DFNB Director
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Complimentary attendee
Producer Number
*
Farm Name
*
Are you a 2023 award winner
*
Yes
No
I am attending: (choose all that apply)
*
Meeting
Lunch
Banquet
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Complimentary guest
You have a complimentary guest, will someone be attending with you?
*
Yes
No
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Complimentary Guest's Name
*
First Name
Last Name
Guest will be attending:
*
Meeting
Lunch
Banquet
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Award Winner
Congratulations on your award! You receive an additional complimentary ticket to the Banquet.
Will someone be attending with you?
Yes, I will take the additional banquet ticket
No, I don't need this ticket
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Award Winner
Complimentary banquet guest
Guest's name:
*
First Name
Last Name
This ticket is for:
*
Banquet
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Attendee
I am attending: Choose all that apply
*
Meeting $75
Lunch $25
Banquet $80
None of the above $0
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Do you have any other guests attending with you
*
Yes
No
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Guest two's name:
*
First Name
Last Name
Guest Two will be attending:
*
Meeting $75
Lunch $25
Banquet $80
Guest three's name:
First Name
Last Name
Guest Three is attending:
Meeting $75
Lunch $25
Banquet $80
Guest four's name:
First Name
Last Name
Guest Four is attending
Meeting $75
Lunch $25
Banquet $80
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Calculation
*
If any individuals registered have dietary restrictions, please provide a list of those restrictions here.
Total Payment
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CAD
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