Registration for Barley Malt Quality Evaluation Short Course
August 14-17, 2012 at Northern Crops Institute, Fargo, North Dakota, USA

Registration Fee: $900. Payment in full is due before the start of the course. Registration deadline is July 25, 2012. Course fee includes a CD-Rom containing materials from lectures and laboratory demonstrations, and scheduled breaks. Hotel rooms and other meals are not included in tuition. Cancellations received after July 25, 2012 will be assessed a 10% service fee.

Groups of three or more:  Special rates are available to groups of 3 or more from the same company. Contact NCI for more information.

To pay by check or wire transfer, fill out this form and return to Northern Crops Institute by faxing to 701-231-7235, or email pdf to nci@ndsu.edu. 

Checks must be payable to Northern Crops Institute and drawn on a U.S. bank.  Contact NCI for wire transfer instructions.

Last Name _______________________________First Name____________________________

Name for Name Badge___________________________________________________________

Job Title ______________________________________________________________________

Company Name ________________________________________________________________

Business Address_______________________________________________________________

City_______________________________________________State_______________________

Postal Code____________________________Country_________________________________

E-Mail________________________________________________________________________

Business Phone________________________________________________________________

Business Fax__________________________________________________________________

Special Dietary Needs:___________________________________________________________

Information and Special Requirements: 
If you have questions or special needs (dietary or physical requirements), please contact:
Northern Crops Institute
NDSU Dept. 7400
PO Box 6050
Fargo, ND  58108-6050  USA     
Phone:  701-231-7736        
Fax:  701-231-7235       
E-mail: nci@ndsu.edu         
Internet:  www.northern-crops.com