The Online Registration for the 2012 Tri-State Dairy Nutrition Conference

You MUST Complete Steps 1 and 2 Below !

STEP 1: Complete the form below to register, exhibit, or sponsor the Tri-State Dairy Nutrition Conference and click "Submit Form".

Discounted registration fees are available for organizations with groups of 5 or more, provided they are received before the registration deadline and are received at the same time. However, group discounts are not available online; contact Michelle Milligan (614-292-7374) for details on group discounts. For exhibitors, keep in mind that this includes only one complimentary registration - additional registrations are at the regular price.

**First Name		**Last Name
Additional Names
Organization
**Street Address		Address (cont.)
**City		**State/Province:
**Zip/Postal Code:		Country:
Work Phone:		FAX:
**Email:		URL:
Job Affiliation	Feed industry - sales/nutrition advisor Feed industry - support staff/management/research Private consultant Veterinarian Dairy producer Campus/university staff County Extension Government Student (undergraduate, graduate, professional)
Registration	Registration ($165/person) 0 1 2 3 4	Extra Proceedings (plus shipping)	Paper ($20) CD ($5)
Exhibitor and Sponsor Options	Exhibitor (10x10) - $750 Exhibitor (10x16) - $1100 Exhibitor (10x20) - $1300 General Sponsor - $300 Hospitality Time Sponsor - $250 Cyber Cafe - $200 Student Presentation Contest - $100

Confirmation

** Please copy this confirmation code 6ecbdd into the following field:

STEP 2. Select the items below to add to your shopping cart and following the instructions as they appear, otherwise you are NOT registered for the Conference. If you submit the top form and do not submit payment for registration by April 13, you will be charged $165 plus an additional $30 at the Conference.

See information provided in Step number 1 about group discounts.

Late Registration	$195/person
Extra Proceedings (paper)	$20.00 + shipping
Extra Proceedings (CD)	$5.00 + Shipping
Exhibitor and Sponorship Options	If you want multiple options, select one, add to cart, and then select another and add it to the cart.	Sponsors Exhibitor (10x10) $750.00 Exhibitor (16x10) $1,100.00 Exhibitor (20x10) $1,300.00 Sponsor $300.00 Hospitality $250.00 Cyber Cafe $200.00 Student Contest $100.00

For more information about the Conference, contact Dr. Maurice Eastridge.