It is mandatory to fill out all required fields.

Name (required):

Title (required):

Company (required):

Company Address (required):

City (required): State/Province (required):

Zip/Postal Code (required):

Country of Residence (required):

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.

TRAVEL DOCUMENTS

Passport Number (required):

US Visa (optional):

Nationality (required):

FEED MANUFACTURING SHORT COURSE

If you would like to register for the Feed Manufacturing Short Course please check one of the boxes below.

US $400 (hotel 2 people/room)
US $500 (hotel 1 person/room)

REGISTRATION INFORMATION

The cost of this course is US $1,450 per person if housed in double bedrooms (you have to indicate your roommate), or US $1,650 if housed in individual hotel rooms. It includes training, educational materials, local transportation, laboratory materials, t-shirt, lodging and all meals from May 14 to 18 (breakfast, lunch and snacks) EXCEPT the evening meals. These fees DO NOT include air transportation to RDU Airport, health insurance, spending money and incidental expenses. The fee for the Feed Manufacturing Short Course is US $400 per person if housed in double bedrooms, or US $500 if housed in individual hotel rooms. This includes lodging 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.

HOTEL ROOM

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 $1,450.

Single bedroom: Queen or King size bed.
Total fee for the course US $1,650.

T-SHIRT SIZE

Please choose your t-shirt size from the drop-down box: S M L XL XXL

FOOD ALLERGIES

Please indicate foods you ARE NOT able to eat due to food allergies, religious practices or ideological beliefs :

Beef
Pork
Chicken
Fish
Shrimp
Eggs
Dairy Products

 

PHYSICAL LIMITATIONS

Do you have any physical limitations that we need to accommodate?

YOUR BACKGROUND IN POULTRY

Please give us a quick summary of your poultry background:

Do you have a degree in any area related to poultry production?

How much exposure have you had to the poultry industry?

What sectors of the Industry have you worked with?

(We would like to know the level of experience of each participant to try to guarantee a good course for everybody.)

COVERALLS AND BOOTS

Please select a size for your coveralls that will be worn during the tours from the drop-down box:

S M L XL XXL XXXL XXXXL (Click here for a size conversion chart.)

Please select a shoe size (for boots) from the drop-down box: 5 6 7 8 9 10 11 12

CHOOSE YOUR METHOD OF PAYMENT

You may pay by check, money order, electronic transfer or credit card payment. 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. Fees for electronic transfer will be paid by participants.

Check
Money Order
Electronic Transfer

Credit Card (VISA, MasterCard) - Pay Online

CONFIRMATION OF YOUR REGISTRATION

You will receive an e-mail confirming your 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 Agriculture Educational Services Inc., or a electronic transfer confirmation with a copy of your pre-registration. We will need to receive your check before March 30, 2012 .

Fees for electronic transfer will be paid by participants.

Cancellation Notice:
Prior to three weeks = No charge
Two weeks prior to the Course= Half of enrollment fee
One week prior to the Course= Entire enrollment fee

Please mail your payment to:

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

Initial Meeting on Sunday May 13, 2012

We expect to meet All participants in the Lobby of the Brownstone Hotel (2711 Founders Drive, Raleigh, NC 27695-7608) in Raleigh on Sunday May 13, 2012 at  3 pm.   Please make plans to arrive to Raleigh before 1 pm on Sunday May 13, 2012.

The Meeting on Sunday May 13, 2012 is Very Important for Introductions, Instructions, Distribute Materials, Explain Background of Contents and show you the University. We will Not have time to repeat this Information during the week.

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

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