WHPA Fall Convention

Primary Registrant Name*

First Last

Primary Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Primary Email*

Convention Registration

Regular Registration prices valid through 10/25/2023. Prices increase by $10 after 10/25/2023.

Primary Registrant

Member + $80
Non-Member + $105

Family (defined as 2 adults & any children under 18 years living in the same household)

Member + $110
Non-Member + $135
N/A

Single Person Day Rate

Member + $65
Non-Member + $90
N/A

Family Day Rate (defined as 2 adults & any children under 18 years living in the same household)

Member + $80
Non-Member + $105
N/A

Spouse Name

First Last

Qty: Children (Member)

12-18 years old at home

Qty: Children (Member)

children ages 5-18 years old living at home.

Name(s): Children (Member)

Children - Non-Member

children 5-18 years old at home

Qty: Children (Non-Member)

children ages 5-18 years old living at home

Name(s): Children (Non-Member)

Friday Luncheon

Price: $28.00

Saturday Evening Banquet

Price: $41.00

Membership Dues

10/1/2023 thru 9/30/2024

WHPA Membership 3

WHPA Membership

Member
Additional Member
Additional Member
Additional Member

WHPA Membership23

Hidden

Additional Member Name(s)

Program Donations

Honey Queen Fund

Youth Scholar Fund

Research Fund

General Fund

How would you like to receive your Badger Bee issues?*

Print copy by mail
Emailed

Share my name with members?*

Yes
No

List my services on www.wihoney.org

Honey
Candles
Beeswax
Pollination
Swarm Removal

Convention, Membership, and Donations Total:

$0.00

Payment

Billing Name*

First Last

Billing Address*

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

Billing Phone*

Billing Email*

Please only click Submit once to avoid multiple credit card charges.

Convention Registration

Membership Dues

Program Donations

Convention, Membership, and Donations Total:

Payment

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