Convention Registration Please enable JavaScript in your browser to complete this form.Firm/Organization Name *Mailing Address *City, State, and Zip *PhoneFax:Mobile PhoneArrival DateDeparture Date Reception Attendee and Please Note:These numbers are important for function guarantees. Accurate numbers will help to save both the Alabama & Georgia Associations money and enable us to keep our registration fees down. Thanks in advance! We appreciate your help! Welcome Reception & Dinner(Sunday evening)# AttendingBusiness Session / Program(Monday – all day)# AttendingPresidents' Reception(Monday evening)# AttendingAward Dinner(Monday evening)# AttendingIndividual Registration Enter each individuals first and last name, then select the registration type. Attendee NameRegistration TypeSelect your type – $0.00Members | Employees – $225.00Spouse | Guest – $225.00Youth (Ages 6-17) – $50.00Children (Under age 6) – $0.00Attendee NameRegistration TypeSelect your type – $0.00Members | Employees – $225.00Spouse | Guest – $225.00Youth (Ages 6-17) – $50.00Children (Under age 6) – $0.00Attendee NameRegistration TypeSelect your type – $0.00Members | Employees – $225.00Spouse | Guest – $225.00Youth (Ages 6-17) – $50.00Children (Under age 6) – $0.00Attendee NameRegistration TypeSelect your type – $0.00Members | Employees – $225.00Spouse | Guest – $225.00Youth (Ages 6-17) – $50.00Children (Under age 6) – $0.00Attendee NameRegistration TypeSelect your type – $0.00Members | Employees – $225.00Spouse | Guest – $225.00Youth (Ages 6-17) – $50.00Children (Under age 6) – $0.00Attendee NameRegistration TypeSelect your type – $0.00Members | Employees – $225.00Spouse | Guest – $225.00Youth (Ages 6-17) – $50.00Children (Under age 6) – $0.00Online Payment InstructionsNote: You can use the dropdown in the PayPal Commerce field to select Credit Card which will display the card fields or the ‘PayPal Checkout’ which includes payment methods like Apply Pay, Google Pay, PayPal, Venmo, or PayPal Credit.Payment Method *— Select Choice —OnlineMail In PaymentPayPal Commerce *PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameOnline Processing FeePrice: $0.00TotalMail In Payment Instructions Visual Code Make checks payable to the Alabama Seed Association. Return payment and registration information to the address below: Alabama Seed Associationc/o Brandon DillardP.O. Box 357 Headland, AL 36345 Submit
