Registration Form
Dairying in the Chesapeake Bay Watershed - Thursday, Nov. 4, 2010
Dairy Industry Issue Forum

Please Note: Registration Due by October 29, 2010
For Registration Information Call 877-326-5993

Registration for Members - Producers & Associates | Registration for Non-Members

Registration for Members - Producers & Associates

Farm or Business/Organization Name
Registrant's Name
(give name as it should appear on name badge)
Mailing Address
City: State: Zip Code:
Daytime Phone Daytime Fax:
Email (confirmations are only sent by email)
Web Address:
Additional Registrant
(give name as it should appear on name badge)
Additional Registrant
(give name as it should appear on name badge)
People from a PDMP Member Farm at $25.00 each =
People from a PDMP Member Business or Organization at $25.00 each =
 
go to Method of Payment

Refunds will only be made if cancellation is received by October 29, 2010

Registration for Non-Members

Farm or Business/Organization name
Registrant's Name
(give name as it should appear on name badge)
Mailing Address
City: State: Zip Code:
Daytime Phone: Daytime Fax:
Email (confirmations are only sent by email)
Web Address:
Additional Registrant
(give name as it should appear on name badge)
Additional Registrant
(give name as it should appear on name badge)
People from a Non-Member Farm at $75.00 each =
People from a Non-Member Business or Organization at $75.00 each =
   
 
go to Method of Payment

Refunds will only be made if cancellation is received by October 29, 2010

Method of Payment

Total Amount Paid:
Credit Card Type:
Name on Card
Account Number 16 characters left.
Expiration Date:
   
Do you need a receipt?
   
 
   

Our Thanks to The Companies Who Sponsor PDMP Meetings!

Sponsor support makes it possible for PDMP to consistently offer high quality, timely, and topical meetings with such low registration fees. The list of sponsors for each meeting is updated regularly on the PDMP website and our members recognize these sponsors are committed to the future of the dairy industry. Be certain to thank our sponsors when you attend the meeting or when they stop by your farm to talk with you about their products or services. To learn how your company can become a sponsor and support education for dairy producers, go to the PDMP website at www.pdmp.org or email: info@pdmp.org.

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