Annual Conference Registration & Membership Form

To register, please complete this form or print and mail or fax to the address at the bottom.

Event:
Date:
   
Contact Information
First Name:
Last Name:
Nick Name (for Tag):
Organization:
Address:
City:
State:
Zip Code:
Phone:
E-Mail:
   
Guest Names:
   
Membership Category - Optional
$35 - Individual
$65 - Business/organization (includes 2 members)
I am already a member.
RSVP Information
  Friday Night Celebration - $65
  Saturday Conference - $35 ($25 for members)
  Celebration and Conference - $95 ($85 for members)
Donation Amount - Optional
  $
Total Cost:
   
Payment Information
Card Type: VISA
MasterCard
American Express
Card Number:
Exp. Date:
Name on Card:
   
Comment:
 

Innovative Farmers of Ohio
1120 Chester Avenue, Suite 470
Cleveland, OH 44114
Phone: (866) 225-5040
Fax: (216) 696-2582
E-Mail: admin@ifoh.org

If you are mailing a check, make it payable to Innovative Farmers of Ohio.