Symposium 2004 Registration

REGISTRATION
2004 NATIONAL POULTRY WASTE
MANAGEMENT SYMPOSIUM

Complete a registration form for each person attending. You will be contacted by a represenative promptly.

Title
Name/Name on Badge
Company
Address
Address 2
City/State/Zip
Telephone		FAX
Email

Please send me information on making a poster presentation or providing an exhibit at the meeting

Please register me for the 2004 National Poultry Waste Management Symposium to be held October 24 – 26, 2004 at the Holiday Inn Select, Airport in Memphis, TN. I understand that it is my responsibility to secure my own travel and hotel accommodations. Enclosed is my payment (in US dollars) to cover the registration fee and planned events as indicated below.

Amount
(Please enter dollar amounts)

Registration Includes Proceedings, Reception on Monday Evening, Monday & Tuesday Luncheons Please Indicate preference:	$175.00
Production Session
Processing Session
Registration after September 27, 2004	$250.00
One Day Registration	$135.00
Student or Grower Registration Includes Proceedings	$75.00
Total Amount

Continuing Education Credit is available forASAE, ARPAS and others.

Make check payable to “Poultry Waste Management Symposium” and forward registration and payment to:

National Poultry Waste Management Symposium c/o Alabama Poultry & Egg Association P. O. Box 240 Montgomery, AL 36101-0240 Phone: 334-265-2732 Fax: 334-265-0008 E-mail: wanda@alabamapoultry.org

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