Western Crop and Pest Mangement School Registration

(Please type or print)

Name(s) ______________________________________________

Organization ___________________________________________

Address ______________________________________________

City _________________________________________________

State Zip _____________________________________________

Phone _______________________________________________

Email ________________________________________________

Registration fee: $100/person

Registration payable to NDSU Extension Service


Number attending _____________

Amount enclosed $ ____________


Return registration form and fee to:

Janet Knodel, Crop Protection Specialist
North Central Research Extension Center
5400 Highway 83 South
Minot, ND 58701
Phone (701) 857-7682 Fax (701) 857-7676

Registration Information

Early registration, using the form in this brochure, is strongly recommended to ensure your place at the workshop. On-site registration will be accepted at the door on a space available basis. Registration begins one half-hour before the first session on February 26 and continues until 1:00 PM. The $100 registration fee includes two lunches, coffee, refreshment breaks and reference materials.

____________________________________________________________

Request for accommodations related to disability should be made to:

Janet Knodel at (701) 857-7682 by February 14, 2003.

Please check any accommodations you may need during the conference:

o sign language interpreter
o FM amplification system
(Specify type )________________________________
o audio-taped materials
o sighted guides for assistance to/from specific sessions
o large print
o Braille
o other

NDSU Extension Service, North Dakota State University of Agriculture and Applied Science, and U.S. Department of Agriculture cooperating. Sharon D. Anderson, Director, Fargo, North Dakota. Distributed in furtherance of the Acts of Congress of May 8 and June 30, 1914. We offer our programs and facilities to all persons regardless of race, color, national origin, religion, sex, disability, age, Vietnam era veterans status, or sexual orientation; and are an equal opportunity employer. This publication will be made available in alternative formats for people with disabilities upon request, 701/231-7881.