Third National Symposium

Registration Form
(1602-TR)

NEW CROPS: New Opportunities, New Technologies
22-25 October, 1995
Adam's Mark Hotel, Indianapolis, IN

Mail to:

Continuing Education Business Office
Purdue University
1586 Stewart Center Rm 110
West Lafayette, IN 47907-1586
phone: 765/494-7220 fax: 765/494-0567
Name ___________________________________________________

Address _________________________________________________

________________________________________________________

City ___________________________ State________________ ZIP _______________

Country__________________________

Phone _____________________ Fax _________________


[__] I plan to present a poster. (June 15, 1995 deadline)

proposed title ____________________________________________


[__] I am interested in being an exhibitor.
[__] ASHS Member [__ ] ISHS Member [__ ] AAIC Member


                        Postmarked          Postmarked	
                       on or before           after             Amount
Registration           15 July 1995        15 July 1995        Enclosed
Regular***                 $190	               $225            ________	
Student**                    50	                 55            ________	
Banquet                      30	                 30            ________	
Proceedings
(prepublication price)       60                  60            ________	
Exhibitor*                  325                 375            ________
	
[__] Payment Enclosed                         Total            ________	
[__] Bill me later
(make checks payable to PURDUE UNIVERSITY)
*** Includes program, banquet ticket, and proceedings
** Program only
* Includes 1 regular registration.
[__] I require auxillary aids and services because of a disability; please contact me at the above address.

Registrants are invited to attend the Association for the Advancement of Industrial Crops (AAIC) technical sessions on Sunday for no extra charge. Information concerning the AAIC program and registration will be sent under separate cover.

For room reservations at the Adam's Mark Hotel call 317/248-2481. Be sure to mention the New Crops Symposium in order to receive the conference rate ($85/room).