National Pork Board Media Registration: Forum 2008

	MEDIA Pre-registration Form
	2008 Pork Industry Forum, March 6-8 2008, Adam's Mark St. Louis Hotel, St. Louis, MO


Complete all information to ensure your registration *Required Information
*Last Name:		*First Name:
Affiliation:		Professional Title:
*Address:		*City:
*State:		*Phone:		Fax:
*Zip:		Email:

In case of emergency during Forum, please contact:
Name:	Daytime Phone:	Evening Phone:

Please indicate any special needs:

We request that you check only the meal functions you plan to attend. If you indicate that you will be attending a function and do not attend, the National Pork Board will still be charged for that meal. Meal functions are complimentary for actual participants such as: delegates and other specific leadership groups as outlined in your letter.

Choose ONE of the following options shown below for meal reservations:

Option 1: I will attend ALL meal functions

OR

Option 2: Check the appropriate box for each function. You will receive a ticket for ONLY those functions you designate

Name of Function	Check those you wish to attend
Friday Breakfast
Friday Lunch
Friday Reception - Heavy Hors d'Oeuvres (cash bar)
Saturday Lunch
Saturday Banquet


For further information or problems please contact Nancy Clark, (630) 907 2883 or nclark@pork.org