ATTENDEE REGISTRATION FORM WISCONSIN CHEESE INDUSTRY CONFERENCE | APRIL 22-23, 2015 | MADISON, WISCONSIN For complete information and online registration visit WWW.CHEESECONFERENCE.ORG REGISTER EARLY FOR BIG SAVINGS!* NAME (AS IT SHOULD APPEAR ON BADGE ) • Registrant is a: DAIRY MANUFACTURER/PROCESSOR SUPPLIER • If registered by February 2, save 20% on Registration Fee (see chart below for reduced prices). Option(s): F EA W TH B S AMOUNT DUE $ If registered by March 2, save 10% on Registration Fee (see chart below for reduced prices). Name Email • After March 2, pay Full Price. Company • Advanced registration will close April 14. After April 14, all registrations will take place on-site. Address *Banquet ticket not eligible for reduced price. City, State, Zip PAYMENT U.S. Bank check payable to: Wisconsin Cheese Makers Association, Attendees will identify themselves in one of the following two categories: 8030 Excelsior Drive, Suite 305, Madison, WI 53717 DAIRY MANUFACTURER/PROCESSOR/MARKETER Bill Credit Card. (Select correct box below:) A dairy manufacturer or processor/marketer is one of the following: a firm engaged in converting milk and milk components into natural dairy products; a firm engaged in producing processed cheese types; a firm engaged in converting cheese into other dairy products, or engaged in processing whey. A firm that markets cheese, purchases or brokers cheese, or distributes cheese as its primary business is also a dairy processor/marketer. American Express Master Card VISA Discover Account Number Exp. Date CVV Code Name as it appears on card Street Address Zip SUPPLIER CANCELLATION POLICY A supplier company is a company that provides a good or service to the industry. Each attendee providing goods or services to the industry (a “supplier”) must be a member of WCMA. Any registration canceled on or prior to April 14, 2015 will receive a 75% refund. No refunds will be issued after April 14. Pre-registration ends April 14; all registrations after April 14 will register on-site. REGISTRATION OPTIONS SUPPLIERS DAIRY MANUFACTURERS/ PROCESSORS Members MUST BE A MEMBER OF WCMA Nonmembers Member Exhibitors Member Non-Exhibitors (F) Full Registration Before 2/2/15 $360 Before 2/2/15 $440 Before 2/2/15 $360 Before 3/2/15 $405 Includes all events except Awards Banquet Before 3/2/15 $405 Before 3/2/15 $495 $450 $450 $550 All Exhibitors receive One Free Full Registration pass. $450 Before 2/2/15 $72 Before 2/2/15 $72 Before 3/2/15 $81 Before 3/2/15 $81 $90 $90 Supplier Attendees are not eligible for this option. Use Full Registration or Single Day Registration Supplier Attendees are not eligible for this option. Use Full Registration or Single Day Registration Before 2/2/15 $280 Before 2/2/15 $320 Before 2/2/15 $280 Before 2/2/15 $280 Before 3/2/15 $315 Before 3/2/15 $360 Before 3/2/15 $315 Before 3/2/15 $315 $350 $400 $350 $350 $75 $75 $75 $75 (S) Spouse Registration Not Employed in the Industry Before 2/2/15 $48 Before 2/2/15 $48 Before 2/2/15 $48 Before 2/2/15 $48 Before 3/2/15 $54 Before 3/2/15 $54 Before 3/2/15 $54 Before 3/2/15 $54 Includes all events except Awards Banquet $60 $60 $60 $60 (EA) Dairy Manufacturer Special: Exhibits and Auction Includes access to tabletop mini-expo, lunch and reception on Wednesday (W or TH) Single Day Wednesday or Thursday Includes all events held on that day (Does not include Awards Banquet.) Note: Mini-Expo is on Wednesday (B) Awards Banquet Thursday evening reception, banquet and afterglow reception Before 2/2/15 $360 Before 3/2/15 $405 Location: Monona Terrace Convention Center WISCONSIN CHEESE MAKERS ASSOCIATION, 8030 EXCELSIOR DRIVE, SUITE 305, MADISON, WI 53717 Phone 608-828-4550 | Fax 608-828-4551 | E-mail Judy Keller: [email protected] | www.cheeseconference.org
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