Agencies that attend the Conference will receive a $25 Credit to their Food Bank account!

MEMBER AGENCY CONFERENCE REGISTRATION

Agency Name Agency ID#
Total Number Attending Conference    
Name & Phone Number of Primary Contact    
Name of Person Attending Conference    
Name of Person Attending Conference    
Your E-Mail Address (necessary)    
       

Please click on the submit button to send your completed registration.

Once you receive an email BACK from us, then you will be officially registered for the Conference.
If YOU DO NOT receive an email back from us, then you are not yet registered.

If you have any questions about this registration form, or about the Member Agency Conference, please call Rose Miller at 269-964-3663, or email her here.

You may also print out this form, complete it and mail or fax in it to:

Food Bank of South Central MI
PO Box 408
Battle Creek, MI 49016
Phone: 269-964-3663    Fax: 269- 966-4147