NC Broiler Supervisors’ Short Course Multiple Registration Form

You may submit multiple names and titles, but only one company, address, phone number, fax number and email address.

Name(s) (One per line):

Title(s) (One per line):

Company:

Address:

City: State:

Zip/Postal Code: Country (if outside USA):

Phone: Fax:

Email (Required field. This should be the email address of the person submitting the form):

Please select one: A check will be mailed. Will pay at meeting.

REGISTRATION INFORMATION

The registration fee is $50.00 per person, which includes a copy of the proceedings, lunch, snacks and door prizes. Please contact Edgar Oviedo for more information on your method of payment. edgar_oviedo@ncsu.edu

You can also pay with Credit Card 

CANCELLATION NOTICE:
Prior to two weeks = No charge
Within last week = Half of enrollment fee
No show = Entire enrollment fee

For additional information contact:

Dr. Edgar O. Oviedo-Rondón
North Carolina State University
Cooperative Extension Service
Department of Poultry Science
229 Scott Hall
Raleigh, NC 27695-7608

Phone: +1 (919) 515-5391
Fax: + 1 (919) 515-7070

E-mail: edgar_oviedo@ncsu.edu

Once you hit submit you will receive a confirmation of your pre-registration. Please print this confirmation for your records.

  

Back to Main Page of NC Broiler Supervisors’ Short Course


Questions/Comments to Webmaster

Was the information on this page helpful? Yes No