Name (required):
Title (required):
Company (required):
Company Address (required):
City (required): State/Province (required):
Zip/Postal Code (required):
Country of Residence (if outside USA):
Company Phone (required): Company Fax:
Email (required):
Alternative Email:
PLEASE CHECK YOUR EMAIL TO MAKE SURE IT IS CORRECT. After your pre-registration is verified we will be emailing you important information about the meeting.
Passport Number (required):
US Visa (optional):
Nationality (required):
The cost of this course is US $270 per person if housed in double bedrooms, or US $350 if housed in individual hotel rooms. This includes lodging (May 15 and 16) and meals EXCEPT dinners. These fees DO NOT include air transportation to RDU Airport, health insurance, spending money and incidental expenses. You may pay by check, money order, or electronic transfer.
Double bedroom (a roommate will be randomly assigned to you). If you have the name of your roommate, please type his/her complete name here: Total fee for the course US $270
Single bedroom: Queen or King size bed. Total fee for the course US $350
Please indicate foods you ARE NOT able to eat due to food allergies:
Beef Pork Chicken Fish Shrimp Eggs Dairy Products
Do you have any physical limitations that we need to accommodate?
Please give us a quick summary of your Feed Industry or Feed Milling background:
Do you have a degree in any area related to Animal Nutrition?
How much exposure have you had to the Feed Industry or Feed Milling?
What sectors of the Industry have you worked with?
Academy
Live Production
Breeders
Nutrition
Broilers
Processing
Extension
Purchasing/Sales/Marketing
Government
Turkeys
Hatcheries
Veterinary Services
Layers
Feed Manufacturing
(We would like to know the level of experience of each participant to try to guarantee a good course for everybody.)
You may pay by check, money order, or electronic transfer. If you choose electronic transfer you will get an email along with your preregistration confirmation that gives you the details on how to transmit a wire transfer payment to NORTH CAROLINA STATE UNIVERSITY. Please fax or mail us a copy of the receipt of the electronic transfer as proof of payment.
Check Money Order Electronic Transfer
You will receive an e-mail confirming your 2009 pre-registration from Lynn Strother (lynn_strother@ncsu.edu). If you don’t receive this e-mail, please contact us by e-mail, phone or fax. This pre-registration is not complete until we have received a check or money order in US dollars payable to NORTH CAROLINA STATE UNIVERSITY with a copy of your pre-registration. We will need to receive your payment before April 3, 2009.
Cancellation Notice: Prior to two weeks = No charge Within last week = Half of enrollment fee No show = Entire enrollment fee
Lynn Strother Extension Poultry Science NCSU, 229 Scott Hall 2711 Founders Drive Campus Box 7608 Raleigh, NC 27695-7608
Phone: +1 (919) 515-2621 Fax: +1 (919) 515-7070
E-mail: lynn_strother@ncsu.edu
For additional information contact:
Dr. Charles Stark North Carolina State University Cooperative Extension Service Department of Poultry Science 229 Scott Hall Raleigh, NC 27695-7608
Phone: +1 (919) 515-5399 Fax: +1 (919) 515-7070
E-mail: charles_stark@ncsu.edu
