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Online Registration Form

Registion online (below) or by mail: (follow this link to print out the form for mailing)

Online Registration Form: Fill out all the required fields below and press the submit button. Note: fields marked with a * are required for submittal. Payment can be made the day of the conference (June 12 or 13) by check or Purchase Order (made out to Colorado State University) or Master Card/Visa .

First Name:*
Last Name:*
Business Address:
Company:*
Street:*
City:*
State:*
Zip:*
Telephone:*
E-mail:*

Registration: * One of the below fields must be selected.

Full Conference @ $110.00 $
One-day registration @ $60.00
June 12 only June 13 only
$
CSU Students, Faculty, Staff and Seniors:  
Full Conference @ $55.00 $
One-day registration @ $40.00
June 12 only June 13 only
$
Late fee @ $10.00 ..........All online registrations submitted after June 2, 2008 should include a $10.00 late fee. $

Conference Synopsis:
(Note: One copy included with each registration.)
Additional copies of the 2008 Lillian Fountain Smith Conference Synopsis @ $10.00 each.............................................................................
$
Colorado Residents: Add $.68 sales tax per synopsis ……$
TOTAL COST ……………………………………………..……$ *

Additional Comments:


You will receive an email confirming your registration within 1-2 days.

Payment: Payment can be made the day of the conference (June 12 or 13) by check or Purchase Order (made out to Colordao State University) or Master Card/Visa. You will be billed a $17.00 handling fee for cancellation requests received after 5:00 p.m. mountain daylight time on June 2, 2008. Refunds will not be possible after this time.

Any questions or problems with this form please contact Pam Blue 970.491.7435.

 

 

 




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© 2008 Department of Food Science and Human Nutrition, Fort Collins, CO 80523-1571 - 970.491.6535