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REGISTRATION

Due By: February 25, 2006

Northeast Potato Technology Forum 2006

March 15-16, 2006

Bangor Motor Inn
Bangor, Maine


Everyone wishing to attend the Northeast Potato Technology Forum must register.

A registration fee of $40 US or $50 CAN will be collected at the Registration Desk in the Gazebo from 11:30 a.m. to 1:30 p.m. on March 15, 2006.

Oral presentations will begin at 1:00 p.m. March 15.

Registration includes technical sessions, a lunch buffet on March 16 and daily refreshments. Only cash or personal check will be accepted. Sorry, no credit or debit card payments.

To register, please complete this form by February 25, 2006. This information will be sent via email to the Forum organizers only for organizational purposes.

First Name
Last Name
Organization
Street Address
Street Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Telephone
Email Address


 

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