Registration Form

Nose-to-Tail Nutrition - June 11-12, 2022

Polyface Farm - Swoope, VA

First Name•:
Last Name•:
Organization:
Address•:
City•:
State•:
Zip•:
Phone Number•:
Fax Number:
*Email Address•:

SPONSOR/EXHIBITOR CATEGORY
Platinum Level $3,500
Gold Level $1,500
Regular Exhibitor $300
Electric $50
1/4 Page Program Ad $50
1/2 Page Program Ad $100
Full Page Program Ad $175

REGISTRATION
Non Member Attendees Full Event $265/person
Member Attendees Full Event $235/person
One Day Non Member Registration - Saturday $150/person
One Day Non Member Registration - Sunday $150/person
One Day Member Registration - Saturday $135/person
One Day Member Registration - Sunday $135/person
Saturday VIP Dinner – Limited Seating $100/person
Children’s Program – Limited Seating
3 yrs and up, 0-2 are free

Full Name Age
Full Name Age 		$145/child

Saturday Afternoon Session - Please choose one session per person:

Polyface Farm Tour - Limited to 100
Polyface Butchering Demonstration - Limited to 50
Nose-to-Tail in the Kitchen with Maureen Diaz


 
PAYMENT INFORMATION
Total Due:
Please check one:
Visa 
MasterCard 
Check/(payable to God’s Good Table) 

By submitting the registration form, I authorize God’s Good Table to charge the appropriate fees.  I understand all cancellations must be submitted in writing and must be received by June 1, 2022 to be eligible for a full tuition refund less a $30 cancellation fee.  After June 1, 2022, no refunds will be issued. 

 

Mail Registration to: PTF & Associates,1900 Jones Rd, Winchester, VA 22602

Email Registration to Paul Frank: pfrank@ptfassociates.com   •   Phone: 240-481-3755        


www.GoodsGoodTable.com