Registration and Information Form for the 1998 NC-140 meeting

Name:________________________________________________________________________

Address:______________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Phone number: _______________________________

E-Mail: _______________________________

Please complete the following statements:

I will arrive at Portland airport on _________ at ________ time.

I will ____ or will not _____ travel to and overnight in Corvallis on 16 November.

I will ____ or will not _____ attend the group dinner with the NE-183 participants on 16 November.

I will ____ or will not _____ participate in the tour with the NE-183 participants on 17 November.

I will ____ or will not _____ need to be picked up at the airport at 6 pm on 17 November.

I will ____ or will not _____ need a ride back to Portland Airport on the morning (6 am) of 22 November, Sunday.

I have special dietary considerations (specify):

Other comments/concerns/etc.:

No. of persons Amount Total

Group Dinner in Corvallis on 16 November ___________ $18.50 _____

Nursery tour on 17 November ___________ 6.50 _____

NC-140 Registration ___________ 95.00 _____

TOTAL _____

Make your registration checks payable to the Agricultural Research Foundation.