Cooperative
Extension
Service


University of Illinois
at
Urbana-Champaign


No. 25/December 5, 1997

1998 Illinois Crop Protection Workshop


Preregistration Form
1998 Illinois Crop Protection Workshop
UFAS 1-3-63864-0660

Conference dates: March 3 and 4, 1998
Location: Chancellor Hotel & Convention Center, Champaign, Illinois

Please mail completed preregistration form(s) by February 13, 1998, or fax to (217)333-9561.

Name

Company/business

Address

City/state/zip

Telephone (business)
(home)

Method of payment:
_____ Check enclosed (make payable to the University of Illinois)
_____ I prefer to charge on credit card:
_____ Visa _____ MasterCard
Card no. _______________
Expiration date _______
Signature of card holder ______________________________________

Preregistration: $125 per person (provides a conference notebook and participation in two general sessions, seven specialized sessions, two lunches, and refreshment breaks). Walk-in registration fee is $150.

NOTE: If paying for more than one person, please enclose a completed preregistration form for each person (one check may be written to cover total payment).

Mail completed preregistration form(s) along with payment to
University of Illinois at Urbana-Champaign
Accounting Business Office
Administration Building Room 162
506 South Wright Street
Urbana, IL 61801