Value-Added Products Workshop
Registration Form
Agricultural Research & Development Center
Mead, Nebraska
June 27, 8:00 am - 4:00 pm
Enclosed is a check for $10.00 for each participant, payable to "University of Nebraska".
(Fee covers lunch and resource packet.)
| Name: ___________________________________________________________________ |
| Address: _________________________________________________________________ |
| City/State/Zip: _____________________________________________________________ |
| Phone: _______________________________ Email: _____________________________ |
| Name: ___________________________________________________________________ |
| Address: _________________________________________________________________ |
| City/State/Zip: _____________________________________________________________ |
| Phone: _______________________________ Email: ______________________________ |
| Name: ___________________________________________________________________ |
| Address: _________________________________________________________________ |
| City/State/Zip: _____________________________________________________________ |
| Phone: _______________________________ Email: ______________________________ |
| Send form and check(s) to: |
|