Folk Alliance Region Midwest [FARM]

ABOUT FARM

Welcome to our new Online Registration for the 2010 FARM Gathering. Please complete all information below as applicable. Once you submit this form you will be given the option to print and mail in your check or pay via Paypal.

We hope you will find this to be a much easier and faster registration process however if you prefer click here for a pdf to print, fill in by hand and mail in with your check.

Name:

Address:

City:

STATE/Province:

ZIP/Postal Code:

Country:

Home Phone:

Office Phone:

Cell Phone:

Email Address:

Website:

Please check all roles that apply to you:

	Performer
	Agent
	Organization
	Venue
	Band Member
	Media
	Other

For Performers

Performance Lane

	Yes, I would like a Performance Lane Slot
		Friday afternoon (4:00 - 5:00)
		Friday night (10:30 - 12:00)
		Saturday afternoon (4:00 - 5:00)
		Saturday night (10:30 - 12:00)

NOTE: Performance Lane Slots are assigned in order of registration. If you are a member of a band as well as a solo performer we ask that you choose one or the other to showcase. Any support performers must be registered for the conference.

Conference Registration Options

Please select BOTH a registration and meal option below. We will be offering on-site meals either per day or for the weekend. You will have the option to pay via paypal using your credit card or bank account or you may print the form and mail it to us with your check.

	3-Day Conference $60
	Friday Only Conference $30
	Saturday Only Conference $30

	Meals (Fri & Sat) $80 (3 per day)
	Meals Friday only $40
	Meals Saturday only $40
	No Meals $0

	Taste of FARM Thursday $10
	Taste of FARM Friday $10
	Taste of FARM Saturday $10
Add-on Costs
	Non-FA members add $20
	After September 15, 2010 add $20
Discounts
	First Timer (Full conference only deduct $30)
	Referral for First Timer (Full conference only deduct $30)

Additional items for your consideration

For your convenience you may also purchase your sponsorship, program ad or tote bag insert at the same time.

Sponsorship Levels (for more information visit our Sponsor Page. It will open in a new window so you can easily navigate right back here and not lose your place) If you elect to become a sponsor you will be contacted by our FARM President, Annie Capps, to arrange your advertising.
	Gold Sponsorship ($750)
	Silver Sponsorship ($500)
	Bronze Sponsorship ($250)
	Friend of FARM Sponsorship ($100)

Advertise in our Program Book
	Full Page Ad ($75)
	Half Page Ad ($50)
	Quarter Page Ad ($30)
	Business Card Ad ($20)

	Tote Bag Insert ($50)

Please enter any additional comments or special instructions below

Once you press Confirm you will have a chance to verify your entries and make changes if necessary. Then you will Submit your registration on the next page. At which point you will be prompted to either print and mail in your check or pay for your registration via Paypal. Please don't hesitate to contact us if you have any questions or problems with this process.