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24th Annual Maine Beef Conference - 2013 Maine Beef Conference Registration

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Registration

Payment by check or money order only. Please print this page, complete your information and mail with check/money order made out to MBPA to Melissa Libby, 134 Hitchner Hall, UMaine Extension, Orono, ME 04469-5735. For more information call Melissa Libby at 207.581.2788 or in Maine 1.800.287.7170 or Melissa.Libby1@maine.edu.

Name _________________________________________________________________

Additional Names _______________________________________________________

Business _______________________________________________________________

Mailing Address ________________________________________________________

City __________________________________________________________________

State ________________________  Zip or Postal Code ________________________

Telephone _______________________

Email _________________________________________________________________

If purchasing a membership now, registration for conference is at the member rate.

Please check all that apply and fill out the form completely.

# people @ Total
1st person registration & lunch        1      $60     $60
Additional people  ______      $40  $_____
Student  ______      $20  $_____
MBPA Membership  ______      $35  $_____
MGFN Membership  ______      $25  $_____
Current MBPA or MGFN member discount     ($10)  $_____
         Make check payable to MBPA for  Total  $_____


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