AM/PIC Registration

2025 GACAA AM/PIC Registration

Georgia Association of County Agriculture Agents

PLEASE PRINT THIS FORM BEFORE YOU HIT SUBMIT SO YOU HAVE A COPY.
Name(Required)
Email(Required)
Address(Required)

Agent Information

Enter your county name, state staff, or specialist
Enter Northwest, Northeast, Southwest, Southeast or State Staff
Meals needed:(Required)
These meals are included in your conference registration. Please select all that you will be attending.
Vegetarian meals?
There is a box below if there are other dietary restrictions that we need to know.
Activities/Tours(Required)
Please select one Monday activity and one tour for Tuesday. There will be out of pocket fees for Monday activities. Some tours have a number limit so will be first come first added.
Conference Cost(Required)
A $5 convenience fee is included for paying by credit card.
If you are paying by check please print and mail with your payment to: Guy Hancock, GACAA Treasurer, 4602 Research Way, 305 HH Tift Bldg. Tifton, GA 31793-5766
Credit Card