Valmont Irrigation Rice - Field Day Registration Form

  
  2012 Rice Field Day Registration
First Name
Last Name
Company/Organization/Farm
Occupational Role (ie: Owner, Operator, etc.)
Street Address
City
State
Postal Code
County
Country (if outside U.S.)
Home Phone Number (with area code)
Cell Phone Number (with area code)
Email Address
Are you a grower?
Do you produce rice?
Do you own/use a center pivot or linear?
How did you hear about this Field Day?
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