Food Protection Trends - April 2009 - (Page 244) IAFP 2009 REGISTRATION FORM 3 Ways to Register ONLINE www.foodprotection.org FAX +1 515.276.8655 Member number: MAIL 6200 aurora ave., Suite 200W des Moines, Ia 50322-2864, USa First name (as it will appear on your badge) Employer Mailing address (Please specify: ❒ Home ❒ Work) City Telephone Fax State/Province Title Last name Country E-mail Postal/Zip Code ❐ ❐ Regarding the ada, please attach a brief description of special requirements you may have. IaFP occasionally provides attendees’ addresses (excluding phone and E-mail) to vendors and exhibitors supplying products and services for the food safety industry. If you prefer nOT to be included in these lists, please check the box. PAYMENT MUST BE RECEIVED BY JUNE 9, 2009 TO AVOID lATE REgISTRATION FEES REgISTRATION FEES Registration association Student Member Retired association Member One day Registration* ❒ Mon. ❒ Tues. ❒ Wed. Spouse/Companion* (name): Children 15 & Over* (names): Children 14 & Under* (names): *awards Banquet not included additional awards Banquet Ticket – Wednesday, 7/15 Student Luncheon – Sunday, 7/12 MEMBERS $ 430 $ 80 $ 80 $ 230 $ 60 $ 25 FREE ($ ($ ($ ($ ($ ($ 480 late) 90 late) 90 late) 255 late) 60 late) 25 late) NONMEMBERS $ 650 ($ 700 late) not available not available $ 360 ($ 385 late) $ 60 ($ 60 late) $ 25 ($ 25 late) FREE $ 55 ($ 65 late) TOTAl $ 55 ($ 65 late) $ 10 ($ 15 late) DAYTIME EVENTS Golf Tournament at Tour 18 – Saturday, 7/11 JFk and dallas City Tour – Saturday, 7/11 Grapevine Historical Tour – Sunday, 7/12 (Lunch included) Fort Worth Stockyards Tour – Monday, 7/13 (Lunch included) Fort Worth arts Tour – Tuesday, 7/14 (Lunch included) $ $ $ $ $ 145 58 83 84 85 ($ ($ ($ ($ ($ 155 late) 63 late) 88 late) 89 late) 90 late) # OF TICkETS EVENINg EVENTS Monday night Social – Texas Fun on the Ranch – Monday, 7/13 IaFP Foundation Fundraiser – dinner at Cowboys Golf Club – Tuesday, 7/14 $ 45 ($ 55 late) $ 140 ($ 150 late) SPECIAl EVENTS nIFSI Project directors Meeting – Saturday, 7/11 Texas a&M Breakfast – Tuesday, 7/14 nFPa alumni and Friends Reception – Tuesday, 7/14 $ 80 ($ 90 late) $ 10 ($ 20 late) $ 35 ($ 45 late) ABSTRACTS annual Meeting abstracts (citable publication to be mailed Sept. 1) Payment Options: $ 30 $ 30 TOTaL aMOUnT EnCLOSEd $ ❐ VISA ❐ Master Card ❐ American Express ❐ Discover ❐ US FUndS on US Bank Check Enclosed Refunds subject to cancellation policy CREdIT CaRd # CaRd Id #* ExP. daTE SIGnaTURE * Visa, Mastercard and discover: See 3-digit Card Id number on the back of the card after account number. american Express: See 4-digit, non-embossed number printed above your account number on the face of your card. JOIN TODAY AND SAVE!!! (attach a completed Membership application) EXHIBITORS DO NOT USE THIS FORM ❐ Check box if you are a technical, poster, or symposium speaker. 244 FOOD PROTECTION TRENDS | APRIL 2009 http://www.foodprotection.org
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