2005 International Berry Health Benefits Symposium
June 13 & 14, 2005
LaSells Stewart Center• Corvallis, Oregon

Directions to LaSells Stewart Center
Flyer PDF
WORKSHOP REGISTRATION FORM
For information, contact Cat McKenzie: 541.456.2264, or cat@oregon-berries.com

Three Ways to Register:

You may either 1. Submit this form electronically by clicking the SUBMIT button,
OR 2. Print and submit by fax: 541.737.1877, ATTN: Debby Yacas,
OR 3. Print and mail to: Berry Works, 3020B SW Morris, Corvallis, OR 97333

Please attach a list of all names of registered attendees to check

Please mail payment promptly. Registration is not confirmed until payment is received.

NAME

ORGANIZATION

TITLE

ADDRESS

CITY   STATE   ZIPCODE

PHONE   FAX

E-MAIL

REGISTRATION FEES

    $175/person - Early registration (received BEFORE May 1, 2005)
    $225/person - Late registration (received AFTER May 1, 2005)
    $50/student - Students must show proof of full-time status
    $35/person - Guest fee for keynote dinner on June 13, 2005
    $75/person - Berry Industry Tour on June 14, 2005 (includes dinner)
               Prepayment required.
Please make check(s) payable to: Berry Health Benefits Symposium
               Mail to
: Berry Works, Inc., 3020B SW Morris, Corvallis, OR 97333

   
Check here to request a vegetarian meal