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MEAL REGISTRATION FOR SPONSORS AND EXHIBITORS 2015 Oregon Dairy Farmers Annual Convention Salem Conference Center, Salem, Oregon, February 23-24, 2015 Step 1. Contact Information Your Name_______________________________________________________________________________________________ Name of Company__________________________________________________________________________________________

Step 2. Please indicate what level you are a sponsor and/or exhibitor. PLATINUM SPONSOR Registration and all meals for four (4) people included

GOLD SPONSOR

SILVER SPONSOR

Registration and all meals for three (3) people included

Registration and all meals for two (2) people included

BRONZE SPONSOR

EXHIBITOR (ONLY)

$30.00 Registration fee Pay for all meals

Monday dinner for two (2) people included

Step 3. Please indicate names of individuals and conference meals. Please print names clearly in the boxes indicated to be used for name badges and check meals desired. PLATINUM, GOLD & SILVER SPONSORS PARTICIPANT NAME

MEAL

TUESDAY

MONDAY

TUESDAY

MONDAY

TUESDAY

$20.00

$20.00

$20.00

$

Lunch

P,G,S Included

$30.00

$30.00

$30.00

$

$35.00

$

P,G,S Included

P,G,S Included

$35.00

$35.00

Included

$35.00

$35.00

Breakfast

P,G,S Included

$20.00

$20.00

$20.00

$

Lunch

P,G,S Included

$30.00

$30.00

$30.00

$

$35.00

$

P,G,S Included

P,G,S Included

$35.00

$35.00

Included

$35.00

$35.00

Breakfast

P,G Included

$20.00

$20.00

$20.00

$

Lunch

P,G Included

$30.00

$30.00

$30.00

$

$35.00

$

Dinner

PARTICIPANT NAME

MONDAY

TOTALS

P,G,S Included

Dinner

PARTICIPANT NAME

TUESDAY

EXTRA PARTICIPANTS ( ATTACH 2ND SHEET )

EXHIBITORS

Breakfast

Dinner

PARTICIPANT NAME

MONDAY

BRONZE SPONSORS

P,G Included

P,G Included

$35.00

$35.00

$35.00

$35.00

$35.00

Breakfast

P Included

$20.00

$20.00

$20.00

$

Lunch

P Included

$30.00

$30.00

$30.00

$

$35.00

$

Dinner

P Included

P Included

$35.00

REGISTRATION

$35.00

$35.00

$35.00

$35.00

$

$30.00 TOTAL

$

0.00

Step 4. Please choose a payment method (choose one): Check (payable to Oregon Dairy Products Commission) MasterCard Visa

 Card #



Please Invoice

/ Expiration Date



ZIP Code of Cardholder

Signature of Authorized Buyer_______________________________________________________________________________ Please return this form by January 15, 2015 to: Oregon Dairy Center, 10505 SW Barbur Blvd, Portland, OR 97219 Fax: 503-245-7916 If you would like more information or to e-mail your completed forms, please contact Kurt Vetsch at [email protected] 971-673-2722

www.dairyfarmersor .com