Clone of NH Dairy Management Conference Form with Payment

NH Dairy Management Conference

Tuesday, March 24, 2026 - The Fireside Inn & Suites, West Lebanon, NH 03784
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payments are processed through Square. You may pay using any major credit card / debit card.

My Products

Advance Conference Registration (by March 19th), includes lunch

$15.00 Quantity

Day-of-Conference Registration, includes lunch

$25.00 Quantity

Student Registration, includes lunch

$ Free Quantity

Total

$0.00

EQUAL OPPORTUNITY - DEMOGRAPHICS FOR UNH COOPERATIVE EXT.
Please provide the following demographic information about yourself. We will use this information to ensure our programming reaches a diversity of audiences. We use the data only in an aggregate way that preserves anonymity. You have the option not to provide this demographic information. Should you choose not to answer a question, please choose "Prefer not to respond" for that question.
Please indicate the races of the people registering. Check all that apply.*

American Indian/Alaska NativeAsianBlack or African AmericanNative Hawaiin or Other Pacific IslanderWhitePrefer not to respondOther
Are people registering Spanish, Hispanic, or Latino? Check all that apply.*

YesNoPrefer not to respond
Please indicate ages of people registering. Check all that apply.*

0-4 years5-17 years18-29 years30-59 years60-75 years76+ years
Please let us know if you need any accommodations for participation.
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