Headshot Happy Hour RSVP
Friday, June 14th from 3-6PM at Mek's on Main, 201 N Main St., Monmouth, IL 61462. Farm Bureau member price is $10, Non-Farm Bureau member price is $20.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
County of Residence
Please Select
Warren
Henderson
Knox
McDonough
Mercer
Other
Are you a Farm Bureau member?
Yes
No
Are you currently a student?
Yes
No
Preferred time slot to have your headshot taken:
3-3:30PM
3:30-4PM
4-4:30PM
4:30-5PM
5-5:30PM
5:30-6PM
I'm just attending to network and receive information.
How did you hear about this event?
Radio advertisement
Bi-County Cultivator
Postcard
School
Farm Bureau member
Other
If you chose Farm Bureau member, who?
If you chose other, please explain.
Submit
Should be Empty: