EmailMe Form - MAPACA 2024 Fall Seminar Registration Form

Name *
First Last
Farm Name *
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email *

Confirm
Phone *
### - ### - ####
Please enter the number of attendees from your farm. *
Instructions and Agreement to pay by August 23, 2024.

$140 MAPACA Member, $120 2nd person same farm
$155 Non-Member, $140 2nd person same farm
$35 Dinner at Miller's Smorgasbord

Please mail your check, payable to Mid-Atlantic Alpaca Association, to:
Nicole Phillips, Treasurer
16305 Coatesville Rd
Beaverdam, VA 23015 *
Agree
Please briefly indicate 1-2 medical topics of interest that you would like to see included in the Veterinary Round Table Discussion. *