Registration Form - 2011

13th Annual Meeting and In-Service Training

September 2011
TENNESSEE

Registration for the 13th Annual Meeting is $TBA. Preregistration should be postmarked no later than September 1 and the check made payable to "HISSC".
 
Name:
Agency/Organization:
Address:
City: State: Zip:
Phone Number:
Email Address:

Please mail this form to:
Janet Lensing, HISSC Secretary
S-225 Ag Sci Ctr - N, Lexington, KY 40546-0091
email: janet.lensing@uky.edu
FOR OFFICE USE ONLY
Received By:
Amount Received:$
Date Received:
Check # or Cash:
Process Date:
Secretary:
Treasurer:
Notes:

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H.I.S. Southern Chapter
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