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Equipment Demonstration Registration
Purdue Forage Day 2008
June 26, 2008
Hosted by: Gary and Ann Hodupp, Grant County

Please fill out this form and click submit.

Company:

Contact Person:
Address:
 
City:
       State:
Telephone:
Web site:

Entry Fees

 
Implement Type
Model Number
Price
1.
$75.00
2.
$75.00
3.
$75.00
4.
$75.00
5.
$75.00
6.
-
7.
-
    Maximum Fee $375.00
    Late Fee After May 15th
$25.00
   
Total Fee
$

Please e-mail additional implements to lmetts1@purdue.edu

A Certificate of Insurance (available from your insurance company) is to be sent to Lisa Green by June 13th to:

Purdue Forage Day
Purdue University 
Department of Agronomy
Lilly Building       
915 W. State Street
West Lafayette, IN 47907-2054

Invoice Mailing Information (if different from above)

Person to Send Invoice to:
Address:
 
Telephone:
       
City/State/Zip:
 
E-mail: