UFAS ACCT# 1-3-64014-0660 FEIN# 37-6000511-Rev.'99 Crop Tech. |
Conference Dates: January 6 and 7, 1999
Location: University of Illinois, Illini Union, Urbana, Illinois
Please mail completed preregistration form(s), or fax to (217)333-9561, by December 18, 1998. Call (217)333-2881 to register by phone. On-line registration is possible through the World Wide Web a (http://www.conted.uiuc.edu/ci/icptc).
Social Security #
Federal legislation may make it possible for participants in certain educational programs to qualify for lifelong-learning income tax credit(s). To receive a statement from the University of Illinois, you must provide your social security number. Providing this information is voluntary, and it will be used only for tax-reporting purposes.
Method of Payment
____Check enclosed (made payable to the University of Illinois)
____I prefer to charge on credit card:
|VISA ||MasterCard |
|Card No.||Card No.|
|Expiration Date||Expiration Date|
Signature of card holder:
Preregistration: $80 per person (includes one copy each of the 1999 Proceedings of the Crop Protection Technology Conference and the 1999 Illinois Agricultural Pest Management Handbook.) Walk-in registration is $95.
NOTE: If paying for more than one person, please enclose a completed preregistration form for each person (one check may be written to cover the total payment).
Mail completed preregistration form(s) along with payment to
University of Illinois at Urbana-Champaign
Administration Building Room 162
506 South Wright Street
Urbana, IL 61801