PawPaw Cultivation & Tasting

How many people are you registering? *

(including yourself)

If registering multiple people, change the number above. Enter YOUR information here. (Unless you are registering on behalf of someone AND NOT attending yourself.)

Event Reg - Primary

First Name *

Last Name *

Phone *

A confirmation email will be sent to this email address.

Email *

Street Address *

City *

State *

Postal Code *

Event Fee(s)

All transactions are final and not refundable. Event registrations may be transferred to another person if arranged with us at least 24 hours prior to start of event (call 859-384-4999).

General Admission *

General Admission - $ 10.00

Total for this participant

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *