2019 OHIO AGRICULTURAL HALL OF FAME BREAKFAST

All information in this form is confidential and will not be shared. Registration receipt and invoice will be emailed to address entered below. On the form below, please list breakfast attendee names as you would like them to appear on name badges. These are open seating, individual tickets. Please enter the number of attendees below. To reserve a table for eight at the cost of $500, contact OAC at 614-794-8970. If ordering presale fair tickets, please indicate the number of tickets below - a state fair ticket is required to enter the grounds! Reservation cannot be accepted without credit card payment.

REGISTRATION INFORMATION

First:
Last:
Organization:
Address:
City: State: Zip:
Email:
Direct Phone:

PLEASE MAKE REGISTRATION SELECTIONS FROM THE DROP-DOWN OPTIONS BELOW:

Breakfast Ticket - Aug. 2, RATE $40
Fair Ticket, RATE $6

PLEASE LIST ALL ATTENDEES BELOW:

First:
Last:
Organization Name:
First:
Last:
Organization Name:
First:
Last:
Organization Name:
First:
Last:
Organization Name:

If one of the attendees entered above is a previous Hall of Fame Inductee, please list name and year inducted:

Name:
Year:
   - denotes required fields