Mid-America Organic Conference 2020
"Digging Deep"January 23rd, 24th, 25th Stoney Creek Hotel & Conference Center
18011 Bass Pro Drive Independence, MO 64055
GENERAL INFORMATION {please print}
State Zip
Name
Address
City
Hotel Special Rate $104 + tax Call 1-816-908-9600
Mention MOA Organic Conference or Group #109172
REGISTRATION FEES
PAYMENT INFORMATION Name & Address
MasterCard, Visa or Discover Exp. Date CVV
CANCELLATION POLICY -Requests for cancellation MUST be made in writing and received in the MOA office by January 5th, 2020. A non-refundable administration fee of 25% will be retained. A transfer of conference registration made be made after this date. NO refunds for cancellations or “no shows” will be made after this date. .
ITEM: PRICE: QTY: Subtotals:
3 DAY REGISTRATION (Includes 2020 Membership - $75 value) $225.00 Plus One (3 day only) $100.00
THURSDAY - Single Day $75.00 FRIDAY - Single day $75.00 SATURDAY - Single Day $75.00
(Registration is required for everyone 15 and over)
Please let us know how many children under the age of 14 will be attending:
Scholarship DONATION I would like to donate to the Roger Kropf Memorial Scholarship
TOTAL:
Names of Attendees:
Or book your hotel room online at:
and use Group Attendee Code 2001MISSOU_001
Make checks payable to MOA and return with registration form to:
Mid-America Organic Association PO Box 1743 Jefferson City, MO 65102
or register online at: https://moaorganic.org
TOTAL
PAID BY: (circle one) Cash Check Credit Card
https://reservations.travelclick.com/109172#/guestsandrooms
FREE
Registrations must be received by January 5th, 2020 to receive the Friday - Membership Luncheon.
