CMB Field Day Registration

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* 1. Contact Information

First and Last Name

Farm Name/Organization Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Please provide your website if applicable

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* 3. Best method of contact

Phone

Email

Other (please specify)

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* 4. Is this your first NBGC Field Day?

Yes

No