Registration for the 2022 Annual Convention
January 21-23, 2022

Have you registered in the past with the NAFM?

  • If YES, please login below:
    I am a representative of:
    Password:
  • If you are NOT SURE, please check to see if you are listed on the Fairs Page (member fairs) or the Vendors Page (associate vendors). If you ARE, you have an account with the NAFM already. If you cannot remember your password, Retrieve it HERE.
  • If this is the 1ST TIME you are applying for a county membership with the NAFM, please click "Continue" below:
  • All persons attending the convention must pay the registration fee.
  • Registration Fee through January 10, 2022: $20.00 per person
  • Registration Fee after January 10, 2022: $30.00 per person
  • Refund Policy: All registration fees are non-refundable and non-transferable after January 10, 2022.
  • Privacy Policy

Would you like a Trade Show Display (Lower Level Poolside Room) at the Convention?

Yes ($75.00)  No ($0.00)


Please fill out the information below for each Representative that will be attending the convention:

(Registration fee for each attendee: $)

  1. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  2. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  3. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  4. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  5. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  6. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  7. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  8. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  9. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  10. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  11. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  12. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  13. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  14. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  15. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  16. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  17. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  18. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  19. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  20. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  21. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  22. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  23. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  24. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  25. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  26. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  27. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  28. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  29. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

  30. Representative's Name: First Last

    First time at the NAFM Annual Convention: Yes No

    Under 40 (YPI Group): Yes No

    Attending the Early Bird Party (FREE): Yes No

    Meals:

    Saturday Breakfast ($7.00)

    Saturday Lunch and Learn ($10.00)

    Saturday Dinner ($12.00)

    Sunday Breakfast ($7.00)

    TOTAL DUE FOR THIS REPRESENTATIVE: $

TOTAL DUE: $