Sponsored By: American Malting Barley Association, Inc., Idaho Barley Commission, Minnesota Barley Research & Promotion Council, Montana Wheat & Barley Committee, National Barley Growers Association, North Dakota Barley Council, Oregon Grains Commission, and Washington Barley Commission
The Hotel Monteleone, New Orleans, Louisiana
Advance registration is REQUIRED. This allows AMBA to plan for meal functions. Registration Fee: $125.00. (Fee includes meetings, lunch, evening banquet and receptions.) Registration fee is required to be paid in advance. A separate form is included if you choose to use your MasterCard or Visa. This can be faxed to AMBA along with your Registration Form (414-272-4631).
All meal tickets and registration materials will be held at the conference registration desk outside the River View Room from 6:00 p.m. to 8:00 p.m. Wednesday, January 6th, and starting at 8:00 a.m. on Thursday, January 7th outside the Vieux Carré Room where the conference will be held.
Anyone needing additional registration forms should call the AMBA office, (414) 272-4640. Conference participants are responsible for making their own lodging arrangements at The Hotel Monteleone at (800) 535-9595.
Please make checks payable in US$ to American Malting Barley Association, Inc. and mail to:
American Malting Barley Association, Inc.
740 N. Plankinton Avenue, Suite 830
Milwaukee, WI 53203-2403
FILL OUT THE FORM BELOW AND RETURN IT TO AMBA ON OR BEFORE DECEMBER 28, 1998
PLEASE TYPE OR PRINT CLEARLY:
NAME: ______________________________________________________ Last First M.I. NAME FOR BADGE: _____________________________________________ COMPANY: ____________________________________________________ ADDRESS: ____________________________________________________ CITY, STATE, ZIP: _____________________________________ (If other than U.S. address use Postal Code and please include Country) TELEPHONE NUMBER: (___)______________________________________ FAX NUMBER: (___)____________________________________________ E-MAIL ADDRESS: _____________________________________________
VISA/MASTERCARD FORM
Please fill out form completely.
___ VISA
___ MasterCard
Name on Card: _____________________________________________
Card Number: _____________________________________________
Expiration Date: _____________
Number of people registering under this Card: _____
Registration Fee of $125.00/person equals: $ ______
Signature of Cardholder: __________________________________
A copy of this will be used as your receipt. Please choose one of the
following.
___ Do not send a receipt
___ Fax this receipt to me. FAX Number: ______________________
_____ Mail this receipt to me. Company: _______________________
Address: ________________________
________________________
________________________
For Office Use
Date Charged: ______________ Amount Charged: _____________
Credit Card Confirmation #: ____________________________
By: ____________________________________________________