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  151 Treasure Island Cswy. # 2, St. Petersburg, Fl. 33706

Saturday,       September 17

No. Attending - National Hay Association Awards Dinner

2 tickets included with registration: additional @ $40.00 p.p...........$

Friday,           September 16

10:30 AM  # Attending - NHA Ladies Program

                          1:00 PM # Attending - Tour Seattle Area - Pike Street Market & Elliot Bay water front

                                                     6:00 PM # Attending - Optional Group Dinner(Dutch Treat) Maggiano's

Thursday,     September 15

7:00 AM  # Attending - Hunterwood Trophy Golf Outing                                                                                                                                        $

6:00 PM  # Attending - "Welcome to Washington" Reception

Wednesday, September 14

9:00 AM- NHA Tour to Ward Rugh, Inc.-Lunch At Swiftwater Cellars

7:00 PM - NHA Board of Directors Meeting

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     102 Treasure Island Sway.     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 Annual Convention

Hyatt Regency Bellevue

Bellevue, WA.

Sept. 14- 17 2011

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

NAME: NAME:NAME: