REGISTRATION FORM
WORKSHOP ON ORGANIC TECHNIQUES AND PRACTICES IN DAIRY PRODUCTION 3 DAY WORKSHOP MARCH 9 – 10 – 11, 2016 Place: Agrifood teaching and research institute, 31 St-Paul St, Alfred, ON
**Please register by March 4th, at the latest**
PARTICIPANT REGISTRATION FORM
Last and first name
Occupation
Institution
Position
Postal address
Phone
e-mail
Food allergy
Cost: $200.00 / participant, including lunch and documents payable by or check credit card.
Please enter your credit card information’s:
Cardholder:
Visa_ / MC_
Card number:
Exp. date:
The registration will be completed when we receive the full amount
Thank you to return the completed form by e-mail, fax or mail to:
Carole Bertrand 570 rue Kitchener, Hawkesbury, Ontario K6A 2P3 Tel: 1‐800‐267‐2483 ext : 4057 Courriel : [email protected] Please note that the workshop will be given in English