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Home > 2008 ACCC Symposium and Leadership Roundtable

ACCC Symposium and Leadership Roundtable
January 29-30, 2008
Hutchinson, Kansas
Grand Prairie Hotel

Registration fees: $175 per person                             

Registration deadline:  January 15, 2008                                               

         David Barton (by e-mail or phone, 785-532-1508) 
                                               
         Seleise Barrett  (by e-mail or phone, 785-532-1522)

**NOTE: you may use the "tab" button to move through the form but do NOT use the "enter" as that will submit the form and you'll have to start over.

Please fill out this form as many times as needed to register all of the people for your co-op or business. The confirmation page has a link to return to this form.

Name (first and last):

Badge Name (if different from above):

Title:  

Company: 

Mailing Address:    

City:        State:       Zip: 

Telephone:          Fax:    

E-mail: 

I plan to attend the following meals which are included in my registration fee:

     Yes    No   Lunch, Tuesday, January 29th  

     Yes   No    KCC Banquet, Tuesday, January 29th  

 Name (first and last):

Badge Name (if different from above):

Title:  

Mailing Address:    

Street Address:          

City:          State:       Zip: 

Telephone:         Fax:    

E-mail: 

I plan to attend the following meals which are included in my registration fee:

     Yes    No   Lunch, Tuesday, January 29th  

     Yes   No    KCC Banquet, Tuesday, January 29th  

 Name (first and last):

Badge Name (if different from above):

Title:  

Mailing Address:    

Street Address:          

City:       State:      Zip: 

Telephone:      Fax:  

E-mail: 

I plan to attend the following meals which are included in my registration fee:

     Yes    No   Lunch, Tuesday, January 29th  

     Yes   No    KCC Banquet, Tuesday, January 29th  

Total number of people attending the 2008 Symposium from your cooperative:   

This page was last updated on January 15, 2008       Copyright 2006, Kansas State University

  

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