WEB Registration Form

Agtourism in Hawaii
5th Biennial Conference
Fri., January 12, 2007

Use this form to register on this website. After completing the information below, you will be transfered to PayPal's secure servers to pay for your registration.

Keauhou Beach Hotel, Kona, 8:00 a.m.- 3:30 p.m.


Registration Cost:
Conference: $95, postmarked by January 6, 2007; $110 thereafter, space permitting. Registration includes all conference materials, morning breaks, lunch, and new video Agtourism in Hawaii.

Registration contact: Ke Kai Kealoha at (808) 927-2343, or e-mail kealoha@ix.netcom.com.

PERSONAL INFORMATION

Name

Address
Street:   City:   State:   Zip:

Phone E-mail


Number of registrations

Name(s) of additional registrants (other than the name listed above)

Lunch Request (Please enter the number of each meal requested according to the above registrations)
NON-VEGETARIAN
VEGETARIAN

 

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