Gold Sponsor Registration 35th Annual Alfalfa & Forage Symposium

This page is for credit card payment ONLY. If you are paying by check please go to registration page.

Three complimentary registrations (including 12/13/05 banquet lunch, proceedings, admission) will be provided. Use this form for complimentary registrations. Additional non-complimentary attendees must register at general registration web page ($125 each).

Please direct any questions to Janice Corner at (530) 752-7091 or jecorner@ucdavis.edu for more information.

Alfalfa Gold Level (3 registrations) $1000

* = Required
Question	Response
Sponsor level Gold:	$1,000.00 required charge
* Primary registration - First name:
* Last name:
Company/Ranch name:
* Address line 1:
Address line 2:
* City, State, Zip
* Phone:
Fax:
* Email:
I would like to attend the pre-symposium tour for $30:	$30.00
Complimentary Registration #2 - First name:
Registration #2 - Last name:
Registration #2 - phone:
Registration #2 - Email:
Registration #2 would like to attend the pre-symposium tour for $30:	$30.00
Complimentary Registration #3 - First name:
Registration #3 - Last name:
Registration #3 - phone:
Registration #3 - Email:
Registration #3 would like to attend the pre-symposium tour for $30:	$30.00
The Gold Sponsorship allows for 3 tours at the special sponsor price. If any of the above registrants do not choose to attend the tour, and you would like to invite guests to take their place for the TOUR ONLY, check this box.	$30.00 Quantity:
Guest #1 name:
Guest #2 name:
Guest #3 name:
Purchase ADDITIONAL copies of the proceedings (one copy included with registration) @ $12 each:	$12.00 Quantity: