Farm Tour Registration Form

April 8, 2025

Wollam Gardens

Host: Bob Wollam
Wollam Gardens
5167 Jeffersonton Rd
Jeffersonton VA 22724
8:30 a.m. to 1:00 p.m.
www.wollamgardens.com
Limited to 80 attendees.
Registration Fee: $125

Thank you, sponsor!

ASCFG Farm Tour Registration Form - Wollam Gardens

Cancellation Policy

Registrations are taken on a first-come, first-served basis. Refunds will be considered for emergencies only. You may transfer your registration to another member if you cannot attend.

Primary Member Registration

Name

First Last

Company Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Are you an ASCFG Member?(Required)

Yes

No, but I would love to join today at the special rate of $175 (Reg. $225)

No, please send more information. I prefer to pay the additional non-member fee of $50

Please indicate dietary restrictions.(Required)

No dietary restrictions

Vegetarian

Vegan

Gluten Free

Lunch is included. While we do our best to accommodate dietary restrictions, please plan to pack a snack or lunch to supplement.

Additional Company Member Registrations

Please include full name and email address for each additional registration.

Are you adding any additional registrations?

Yes

Additional company members or family members may attend at the member rate. Please note, registration is per person.

Additional Registration - 1

First Last

Additional Registration Email - 1

Add. Co. Member 1: Please indicate dietary restrictions.

No dietary restrictions

Vegetarian

Vegan

Gluten Free

Lunch is included. While we do our best to accommodate dietary restrictions, please plan to pack a snack or lunch to supplement.

Additional Registration - 2

First Last

Additional Registration Email - 2

Add. Co. Member 2: Please indicate dietary restrictions.

No dietary restrictions

Vegetarian

Vegan

Gluten Free

Lunch is included. While we do our best to accommodate dietary restrictions, please plan to pack a snack or lunch to supplement.

Payment

Pay online or call the ASCFG office to register at (440) 774-2887.

Please mark the amount due.

$125 One Registration - Wollam Gardens

$250 Two Registrations - Wollam Gardens

$375 Three Registrations - Wollam Gardens

Total Amount Due

Payment Method

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

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