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Dairy Farmers of New Brunswick
Annual General Meeting
Name
*
First Name
Last Name
Email
*
example@example.com
I am a
*
New Brunswick Producer
New Brunswick Delegate
Provincial Representative
Exhibitor
Guest Speaker
Guest
I am attending: Choose all that apply
*
Meeting $75
Lunch $25
Banquet $80
None of the above $0
Please list your dietary needs.
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Please list the organization you are representing.
*
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Producer
Producer Number
*
Farm Name
*
Are you a top ten 2024 award winner
*
Yes
No
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Top Ten Award Winner
Congratulations to the top ten award winners! The top ten award winners receive a complimentary banquet tickets for themselves and a guest.
Will someone be attending the banquet with you?
Yes, I will take the additional banquet ticket (the amount for the ticket will be reduced from your cart at the end)
No, I don't need this ticket
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Guests
Do you have any other guests attending with you
*
Yes
No
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Guest one's name:
*
First Name
Last Name
Guest one will be attending:
*
Meeting $75
Lunch $25
Banquet $80
Please list Guest one's dietary needs.
Guest two's name:
First Name
Last Name
Guest two is attending:
Meeting $75
Lunch $25
Banquet $80
Please list Guest two's dietary needs.
Guest three's name:
First Name
Last Name
Guest three is attending
Meeting $75
Lunch $25
Banquet $80
Please list Guest three's dietary needs.
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Calculation
*
Total Payment
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CAD
Description
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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