2026 Individual/Family Registration & Meal Order Form

Individual/Family Registration & Meal Order Form
Deadline: October 27, 2026

Please Note: Refunds will not be issued for duplicate meal ticket purchases. Please do not use this form if you are a delegate or alternate or believe your county may be purchasing your meal tickets. If you are unsure, please check with your county before ordering.
Adult's Name

First NameLast Name
Second Adult's Name if Applicable

First NameLast Name
Are you a member?
Membership Number
County
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this your first time attending PFB's Annual Meeting?
Adult and Child Meals
Do you have a food allergy? If so please list.

Opening Lunch Sponsored by Women's Leadership Committee$39.00

Sunday, November 15

	Quantity	Price
Adult - Pork medallions, soup, chef's accompaniment, dessert: Chocolate Loving Spoonful		$39.00
Child: Chicken fingers, French fries, apple wedges, dessert: chocolate chip cookie		$27.00

Item subtotal:

PFB Annual Banquet$63.00

Monday, November 16

	Quantity	Price
Adult - Pot roast, salad, dessert: peanut butter pie		$63.00
Child: Penne pasta, vegetable, dessert: chocolate chip cookie		$27.00

Item subtotal:

PA Friends of Ag Breakfast Buffet$33.00

Tuesday, November 17 | Buffet Breakfast: scrambled eggs, bacon, potatoes o'brien, seasonal fruit, yogurts, pastries/breads

Item subtotal:

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Individual/Family Registration & Meal Order Form