REGISTER FOR PA-WAgN's
Tractor Maintenance Workshop
Josie Porter Farm

*First Name:
  
*Last Name
Farm/Organization Name :
*Street Address:
*City:
*State:
*Zip Code:
*County:
Home Phone:
Work Phone:
E-mail:
Are you currently farming?
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Meal Selection:


  Note: After submitting your completed registration application, you will be automatically redirected to PA-WAgN's secure on-line payment application.
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