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