Form - Fall Tour Check Registration - KENTUCKY DAIRY DEVELOPMENT COUNCIL

Fall Tour Registration if paying by check.

* Indicates required field

Name *

First

Last

Farm / Organization *

Email *

Phone Number *

Registration Category *

Hotel Room Needed *

Dietary Restrictions *

Mobility or Accessibility Needs *

Number of Registrants *

List Additional Attendee Names (if applicable) *

Check Amount Being Mailed *

Date Check Was Mailed (if known) *

I understand that my registration is not confirmed until payment is received by KDDC. *

Yes

I understand that payment must be received within 10 business days of registration to hold my seat on the tour. *

Yes

Please mail payment to:
Kentucky Dairy Development Council
PO Box 142
Leitchfield, KY 42755

Submit