OREGON FARM BUREAU® FEDERATION

2017 Annual Meeting

R E G I S T R A T I O N F O R M

Pendleton Convention Center

December 5-7, 2017

Return to Candace Seal PRIOR TO NOVEMBER 10, 2017

BADGE INFORMATION:

Name: ______

Please check all that apply:

Delegate __ Alt __ CFB Pres __ WAC Del __ WAC Alt __ OFB YF&R __ County Women Rep ___ Other __ (please specify above)

Spouse/Guest (if attending): ______

Please check all that apply:

Delegate __ Alt _ CFB Pres __ WAC Del __ WAC Alt __ OFB YF&R __ County Women Rep __ Other __ (please specify above)

Member of: ______

County Farm Bureau

INDIVIDUAL MEAL TICKETS: No Substitutes, only vegetarian option is available

MONDAY, DECEMBER 4

  • Early Convention Setup

TUESDAY, DECEMBER 5

Pendleton Showcase Reception………………….4:30pm……………………………..Number_____ Hosted

YF&R Dinner & Discussion Meet … …………6:00 p.m... .Number_____ Tickets @ 30.00 ______

(Herb crusted Pork Loin, various salads, green beans, mashed baby red potatoes and cobbler)

WEDNESDAY, DECEMBER 6

General Breakfast …………………………………………….7:00 a.m………………… Number _____ Tickets @21.00 ______

(Baked French Toast, scrambled eggs, bacon, potatoes and fruit)

Young Farmers & Ranchers Comm. Meeting Breakfast 7:00 a.m. Number_____ Tickets @$21.00 ______

(Baked French Toast, scrambled eggs, bacon, potatoes and fruit)

COUNTRY® Financial Luncheon... 12:00 p.m. Number_____ hosted by COUNTRY Financial

(Italian Buffet- lasagne, spaghetti, caesar salad, garlic bread, dessert)

Women’s Advisory Council Dinner & Auction 6:00 p.m. Number_____ Tickets @33.00 ______

(Out West BBQ-Ribs, Chicken, Polish Sausage, red potatoes, vegetables, dessert)

THURSDAY, DECEMBER 7

General Breakfast 7:00 a.m . Number_____ Tickets @ $21.00 ______

(Scrambled eggs with cheese, bacon, biscuits & gravy, potatoes, fruit, pastries)

Membership Luncheon 12:00 p.m.. . Number_____ Tickets @ $23.00 ______

(Mexican buffet, tacos, fajitas, spanish rice, refried beans, brownies)

Annual Banquet 6:00 p.m. . Number_____ Tickets @ $40.00 ______

(New York Strip, red potatoes, vegetables, dessert)

TOTAL AMOUNT ENCLOSED $______

*IMPORTANT: In case of cancellation, a full refund will ONLY be issued if requested by November 27th, 2017, and must be in writing.

Make check payable to and mail with this form:

OREGON FARM BUREAU FEDERATION; 1320 Capitol St NE, Suite 200, Salem, Oregon 97301

Charge my: VISA ¨ Master Card ¨ Acct. #______-______-______-______Expiration Date______/______

3 Digit Code on Back of Card______

Signature:______

ROOM RESERVATION INFORMATION IS ON THE BACK

Hotel Reservations must be made on or before November 10, 2017 by calling the Red Lion Hotel at

541-276-6111. Tell them that you are with the Oregon Farm Bureau group. Reservations received after that will be accepted on a space/rate availability basis and the special rate does not have to be honored.

There is a 24 hour cancellation policy. If you cancel after that window you will be charged for one night of lodging.

Standard Single King or Queen $79.95 Premium Single King or Queen $86.95

Double Queen Premium Double