Registration Online registration is preferred at usjerseyannualmeeting.com (credit card payments accepted). Registration can also be completed by mailing this form and payment to: Iowa Jersey Cattle Club, Attn: Jennifer Zumbach, 2037 330th St., Coggon, IA 52218; Forms must be postmarked by May 31 to be eligible for early bird rates. Make check payable to IJCC 2021 National Convention.
Early Bird Rates on or before May 31 Number Rate Total _____ Number Registering Adult $200 $ _____ _____ Number Registering Youth 100 $ _____
Rates after May 31 Number Rate Total _____ Number Registering Adult $250 $ _____ _____ Number Registering Youth 150 $ _____
_____ Golf Outing
_____ Golf Outing
Ages 5-15
Do you need clubs?
75 $ _____ Yes
Ages 5-15
No
Total
Do you need clubs?
$ _____
75 $ _____ Yes
No
Total
$ _____
Thursday ____Tour A (Field of Dreams) ____ Tour B (National Museum)
Thursday ____Tour A (Field of Dreams) ____ Tour B (National Museum)
Busing Thursday Busing Friday
Yes
No
Yes
No
Busing Thursday Busing Friday
Yes
No
Yes
No
Additional tickets can be purchased upon request for the Young Jersey Breeders Banquet, AJCC Research Benefit Auction and Dinner and the Breeders’ Banquet. Contact Jennifer Zumbach for more information.
Registration Form ______________________________________________________________ _________________________________________________________________
NAME(S) OF ADULT(S) FARM NAME
______________________________________________________________ _________________________________________________________________
NAMES, AGES AND TSHIRT SIZE NEEDED FOR CHILDREN
NAMES, AGES AND TSHIRT SIZE NEEDED FOR CHILDREN
______________________________________________________________ _________________________________________________________________
NAMES, AGES AND TSHIRT SIZE NEEDED FOR CHILDREN
NAMES, AGES AND TSHIRT SIZE NEEDED FOR CHILDREN
_________________________________________________________________________________________________________________ If someone with disabilities will be attending, please describe special needs.
_________________________________________________________________________________________________________________ ADDRESS CITY STATE ZIP CODE
_________________________________________________________________________________________________________________ PHONE NUMBER CELL PHONE NUMBER EMAIL ADDRESS
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