Please print and return this registration form and a check for $20 
(plus $5 for each additional attendee) payable to REAP Food Group.
Registration deadline is Monday, August 30, 2004.

Mail payment and registration form to:
REAP Food Group
P.O. Box 5632
Madison, WI 53705

Registration Form

Name  _______________________________________________

Farm or Organization ___________________________________

Address _____________________________________________

City State ZIP ________________________________________

Telephone Number _____________________________________

Email Address _________________________________________

Please list names of additional attendees:

 _____________________________________________________

 _____________________________________________________