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nefb Sign Up Information

Last Updated:

11/4/2019

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Yes

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Email Address

Your Name

Full Name

Your Address

Home Address, City, State, County, Zipcode

Post-Registration Data

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to nefb.

2019 Nebraska Farm Bureau Conv...

Thank you for registering to our 2019 Annual Convention. If you have any questions, please contact Autumn Jacobs at (402) 421 4470.

Please review the following information.

Registrant Information

William Wilson
212 Langham Road
London, Jon 90275
Jon
Jon
@

Name Badges

Jon

Are you a: Ag Pen Pal
,Century Club Member
,Quota County
,NEFB-PAC

Convention Package

Individual Meal Registrations

Monday Lunch
Grower's Gala Dinner - if you only registered for the Grower's Gala dinner, please pick up your badge at registration.
Tuesday Lunch
Tuesday Banquet

Total Payment

Credit Card Number: Jon
Expiration Date: Jon / Jon
Security Code: Jon

0

Raw Data Registration Structure Registration Form Text

Registration

Invalid Input Phone*

Name (full)

Home address

City

State

County

Zipcode

Full Name - County Full Name - County Full Name - County Full Name - County Full Name - County Invalid Input Are You a:

Ag Pen Pal

Century Club Member

Quota County

- Choose a Package - - $0.00

Data Name	Data Type	Options
Invalid Input Phone*	Text Box
Name (full)	Text Box
Email	Text Box
Home address	Text Box
City	Text Box
State	Text Box
County	Text Box
Zipcode	Text Box
	checklist	Full Name - County Full Name - County Full Name - County Full Name - County Full Name - County Invalid Input Are You a:
	checklist	Ag Pen Pal
	checklist	Century Club Member
	checklist	Quota County
	dropdown	- Choose a Package - - $0.00
	dropdown	- Choose a Package - - $0.00
	dropdown	- Choose a Package - - $0.00
	dropdown	- Choose a Package - - $0.00
	dropdown	- Choose a Package - - $0.00
	dropdown	- Choose a Package - - $0.00

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Comment on: 01/09/2020