2015 Wisconsin Cheese Industry Conference Student Dairy Showcase Housing and Registration Form This form is provided for students and chaperones participating in the Student Dairy Showcase at the 2015 Wisconsin Cheese Industry Conference, April 22-23, 2015 in Madison, Wisconsin. Please return this form by March 30, 2015 to: Kirsten Strohmenger, WI Cheese Makers Association, [email protected] Ph: 608-828-4550 Fax: 608-828-4551 Housing Students and Chaperones attending the Student Dairy Showcase at the 2015 WCIC are guaranteed a room at the Clarion Suites, 2110 Rimrock Road, Madison, Wisconsin. THE CONFERENCE HOSTS WILL PAY FOR TWO NIGHT’S LODGING, AND WILL RESERVE YOUR ROOM FOR AS MANY NIGHTS AS YOU WISH. ___________________________________ _____________ ______________ Student Name Arrival Date Departure Date ___________________________________ _____________ ______________ Chaperone Name Arrival Date Departure Date _________________________________ _____________________________ Company/Organization Job Title ____________________________________________________________________ Street Address/City/State _________________________________ _____________________________ Phone E-mail Registration Students and Chaperones attending the Student Dairy Showcase at the 2015 WCIC will each receive one FREE full registration for the event. Your name badge can be picked up at the registration area in the Alliant Energy Center. Thank you for participating in the Student Dairy Showcase at the 2015 Wisconsin Cheese Industry Conference! Thank you for joining the 2012 International Cheese Technology Exposition!