Registration Form

Fifth DISCOVER Conference

on Food Animal Agriculture:

Milk, Dairy Ingredients and Dairy Foods

for the New Decade

January 20-23, 2002

Asilomar Conference Grounds, Pacific Grove, CA

MAIL EARLY - conference will be limited to the first 100 registrants!

Deadline for application: December 20, 2001*.

Housing information will be sent with your confirmation and is available on the DISCOVER Web site.

 

 

Name: ___________________________________________________________________________________________

Last                                                                                                                 First                                                                                                                 Middle

 

Company/Institution: ________________________________________________________________________________

 

Work Address: _____________________________________________________________________________________

 

City: ______________________________________________________________________________________________

 

State: ____________ Zip: ___________________Country: __________________________________________________

 

 

Phone: __________________________________________  FAX: __________________________________________

 

E-mail: ______________________________________________________________________________

 

 

Please check:               ___Academic                ___Company                 ___Government Agency

___Private Consultant     ___Producer                  ___Other:____________________________________

 

Primary responsibility:    ___Education/Extension ___Management            ___Private Consulting

___Research                 ___Technical Service      ___Other:_____________________________________

Please check:               ___Attendee                  ___Invited Speaker         ___Moderator

 

CONFERENCE REGISTRATION FEE:  $375.00 until 12/20/01

*after 12/20/01:  $475.00

 

___Check                      ___MasterCard              ___VISA                       ___AmEx

 

Card #: ______________________________________________________________  Exp. Date: ____________

 

Signature: __________________________________________________________________________________

 

RETURN REGISTRATION WITH REMITTANCE TO:

Milk, Dairy Ingredients and Dairy Foods for the New Decade

ADSA DISCOVER Conferences

1111 North Dunlap Avenue

Savoy, IL 61874  USA

Phone: 217/356-5146    FAX: 217/398-4119

Web site: http://www.adsa.org/discover

 

CONFERENCE DONORS

As of December 3, 2001

Church & Dwight Co., Inc.

California Dairy Research Foundation

Land O’Lakes

Dairy Management Inc.

USDA-ARS

American Dairy Science Association Foundation