2015 Herd Health and Nutrition Conferences March 17, 2015 L i ve r p o o l / S y r a c u s e , N Y Early Bird Registration Deadline: March 2 All registration fees are per person. One person per registration form. Attendee Information Name:Organization: Business Address: City: Phone: State/Prov.: Zip/Postal Code: E-mail: Country: CC E-mail: The email address entered above should be the one used by the individual being registered. If you are completing this form on behalf of the registrant and would like to be copied on the confirmation email, enter your email address in the CC email field. One person may register per email address. Special dietary requirements: How did you hear about the conference?  Postcard in postal mail  Email from Cornell  Email from NEAFA  PRO-DAIRY website  NEAFA website  Word of mouth  Other: Dairy Impact Information Please answer one of the following questions in order to help gauge our outreach effort: If you are a dairy producer/employee or calf/heifer raiser: Total number of cows (milking and dry): Total number of heifers raised: How many members from your farm, including yourself, are attending this event? If you are an agriservice professional (veterinarian, nutritionist, sales, milk co-op, technical support, etc.): Approximately how many milk cows are represented by the customers your serve? Other attendees: Agriservice not working directly with producers Extension University Government Media/Marketing  Student Registration Fees Please circle the appropriate fee below. General Registration CCE Employee College Faculty Student Before 3/2/2015 After 3/2/2015 $120 $160 $75 $100 $75 $100 $25 $50 Please make checks payable to Cornell University. $ Amount Enclosed Check Number: Please send form for Syracuse event and payment to: Cornell University Dairy Management Attn: Herd Health and Nutrition Conference 272 Morrison Hall Ithaca, NY 14853 IR -DA O R P Y Register online at prodairy.cals.cornell.edu/HHNC