Fall Workshop Registration
First Name
Last Name
Address
City
State
MN
IA
WI
ND
SD
ZIP
Home Phone
Work/Cell Phone
E-mail
Workshop Options
Complete Workshop - I, II & III
Saturday - Session I
Saturday - Session II
Saturday - Sessions I & II
Sunday - Session III
Lunch Order (Saturday Only)
No Lunch
Turkey ($10)
Chicken Salad ($10)
Beef ($10)
Vegetarian ($10)
Membership
Current SAM member
I am not a current SAM member
SAA Number
Payment
Pay Online using PayPal
Mail in check by deadline
Space for Messages