Leopold Center Marketing and Food Systems Initiative
Workshop Registration

Date: November 6, 2006
Location: Gateway Conference Center, Ames IA

* If outside of the US, please select "Outside US"

Name

Organization (organizations only)
Address
City State *
Zipcode
Country
Telephone - -
Occupation:
E-mail address
 

Will you be attending the Iowa-grown lunch?

No


How did you hear about this workshop?
 (check all that apply)

E-mail
In the media (radio, newspaper, etc)
Postcard mailing
Personal invitation
Through another organization (If so, please list:

 

You may submit this form to us via the web by clicking the 'Submit' button below, or you may
mail or fax it to:
Leopold Center for Sustainable Agriculture
209 Curtiss Hall, Iowa State University
Ames IA 50011-1050
Fax: (515) 294-9696

 

Please add any comments or questions you may have in the box below:





Thank you!

The first session will begin at 8:30 p.m.
Our last session will end at 4:30 p.m.
See you November 6!