Print this form, fill out and mail or fax to the address listed at the bottom.

International Wheat Quality Conference
May 18-22, 1997
Holiday Inn - Holidome
Manhattan, Kansas, USA



Please print in ink or type: 

_________________________________  _______________________________  ___________
Last Name(Mr./Ms./Dr.)              First Name                       Initial

_______________________________________________________________________________
Affiliation/Job Title 

_______________________________________________________________________________
Address

___________________   _____________________      __________     ________________
City                  State/Province             Country        Zip/Postal Code

___________________   ___________________________     __________________________
Phone Number*         Fax Number*                     E-Mail
*Please include country and city codes for outside the North American Continent.



Guest Names*





___________________________________   __________________________   _____________
Last Name                             First Name                   Initial
*Guest Registration is free of charge.  If guests want to attend social functions,
 tickets should be purchased.


Names for Badge





____________________________________   _________________________________________
Registrant                             Guest

                                        
IN CASE OF EMERGENCY, CONTACT:          

____________________________________   _________________________________________
Name                                   Telephone Number

[ ]    Please indicate any health related dietary
requirements/preferences._______________________________________________________

[ ]    If you have specific needs or require special accommodations to fully 
       participate in this Conference, please check here. You will be contacted 
       by someone from the planning committee to discuss your specific needs.


TOURS:                                                      Plan to participate:
                                                                  Yes       No  
Grain Science Dept., KSU     Thursday, May 22, 1:30 p.m.   Number_____     _____
American Institute of Baking Thursday, May 22, 2:45 p.m.   Number_____     _____
USGMRL, USDA-ARS             Thursday, May 22, 4:00 p.m.   Number_____     _____


Registration Fees and Functions


             
Professional          Date of Receipt            U.S. Dollars          Total
  I. Early Bird:      before February 7, 1997      $250.00            __________
 II. Preregistration: before    March 7, 1997      $350.00            __________
III. Regular:         after     March 7, 1997      $400.00            __________

Student**
  I. Early Bird:      before February 7, 1997      $ 50.00            __________
 II. Preregistration: before    March 7, 1997      $ 65.00            __________
III. Regular:         after     March 7, 1997      $ 75.00            __________

Full Registration Fee includes these functions:          Do You Plan to Attend?
                                                                   Yes       No
 1 Welcome Reception, Buffet Dinner (May 18, evening)              ___      ___  
 1 Tour and Barbeque Dinner (May 19, evening)                      ___      ___  
 1 American Barn Dance and Dinner (May 20, evening)                ___      ___
 1 Banquet (May 21, evening)                                       ___      ___
 3 Lunches (May 19, 20, 21)                                        ___      ___
 7 Breaks (Coffee, Tea, Soft Drinks)
 1 Conference Proceedings (Full Papers of Oral Presentations and 
   Abstracts of Poster Presentations)

**Special Student Registration fees include most of the above functions, 
 but do NOT include the Banquet (May 21, evening) or Conference Proceedings. 
 Student fee discounts require Institutional or Advisor Signature for student 
 certification (sign below). 

______________________________________________________________________________
Dept. Head/Advisor


For Special One/Two Day Registration, complete the following:

Option   S  M  Tu W  Th       Date of Receipt    Fee***       Total
=====================================================================
One day  __ __ __ __ __    Before Mar. 7, 1997   $125.00    
One day  __ __ __ __ __     After Mar. 7, 1997   $150.00    $________

Two day  __ __ __ __ __    Before Mar. 7, 1997   $250.00
Two day  __ __ __ __ __     After Mar. 7, 1997   $300.00    $________

*** These fees include the corresponding daily breaks and lunches and one copy of
    the Conference Proceedings, but do NOT include admission to any of the evening 
    functions.  For admission, purchase a ticket below for the desired function.

Extra Guest Tickets/Proceedings



                     
  Day        Function/Item               Number         Cost/person      Total
  Sunday:    Welcome Reception-Dinner    ______           $20.00       $______ 
  Monday:    Tour-Barbeque Dinner        ______           $15.00       $______
  Tuesday:   American Barn Dance-Dinner  ______           $20.00       $______
  Wednesday: Banquet                     ______           $30.00       $______
  
             Proceedings                 ______           $50.00       $______

                                 SUB-TOTAL GUEST TICKETS/PROCEEDINGS   $______
                                 SUB-TOTAL REGISTRATON FEES            $______ 

                                                     TOTAL SUBMITTED   $______
    


Payment



                 PAYMENT MUST ACCOMPANY REGISTRATION FORM
     Payment in U.S. funds only.  Checks must be drawn on U.S. Bank.
                           
                                                                  
  [ ] Check No. Enclosed____________________ (Make payable to IWQC) 
  
  [ ] Charge my credit card

       Name of Cardholder__________________________________________

                [ ] VISA       [ ] MasterCard       [ ] Am. Express
                 13-16 digits   16 digits            15 digits

       Card Number:
       [  ][  ][  ][  ][  ][  ][  ][  ][  ][  ][  ][  ][  ][  ][  ][  ]
         1   2   3   4   5   6   7   8   9  10  11  12  13  14  15  16

       Card Expiration Date _________
                              (mo/yr)

       Signature__________________________________   Date__________


Refunds are available by written request before April 1, 1997.
A $50.00 handling charge will be assessed.  
No refunds after April 1, 1997.   

Advance registrants will receive confirmation within three weeks of 
receipt of registration payment.


Mail or fax form and payment to: (do not e-mail form and payment) (only forms with credit card information will be processed via fax) Last revision January 11, 1997 JSteele Ms. Sandra Mathewson GMPRC, USDA-ARS 1515 College Avenue Manhattan, KS 66502 USA Voice: 913-776-2701 FAX: 913-776-2789 Inet: sandy@usgmrl.ksu.edu

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