Total Registration Fees.................................................................$

For Security Reasons Please Call Don Kieffer @ 1-800-707-0014

  with your Credit Card Number and expiration date for payment.  Sorry Master Card and Visa only

If you wish to send a check or register by mail, please print a copy of this form and Mail to:

National Hay Association  102 Treasure Island Cswy. St. Petersburg, Fl. 33706

must be received by September 1St

Saturday,       September 19

No. attending National Hay Association Awards Dinner........$

2 tickets included with registration: additional @ $35.00 p.p.

Friday,           September 18

NHA Ladies Brunch  Spearfish Canyon Lodge

Thursday,     September 17

No. Attending NHA Golf Outing at Spearfish Canyon Country Club

                                                                                          ..$

No. Attending "Welcome to South Dakota" Reception

Wednesday, September 16

No. Attending Tour to Chief Crazy Horse & Mount Rushmore

No. Riding on Motor Coach to Crazy Horse & Mount Rushmore

Convention Registration Fee - Per Company......................$299.00

  We would like to be a convention event Sponsor (Yes or No)

          We will display products, please reserve a display table (Yes or No)

NAME: COMPANY:

ADDRESS:

PHONE:    OFFICE:                       HOME OR CELL:

The National Hay Association     151 Treasure Island Cswy. #2    St. Petersburg, Fl.  33706

Phone (800) 707-0014    (727)367-9702     Fax (727) 367-9608

Organized in 1895

National Hay Association

"The Voice of the National Hay Industry"

NHA 114th ANNUAL CONVENTION

Cadillac Jack's Resort

Deadwood SD.

Sept. 17-19  2009

Please fill out the information below and click submit button bottom page to register

NAME: NAME:NAME: