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CONFERENCE REGISTRATION Theme: “Enhancing Family Farms Through Sustainable Energy, Research and Technology” EVENT NAME: CFCS 50 TH ANNUAL MEETING HOST ORGANIZATION: CARIBBEAN FOOD CROPS SOCIETY MEETING DATES: JULY 6-11, 2014 LOCATION: SUGAR BAY RESORT AND SPA, ST. THOMAS, UNITED STATES VIRGIN ISLANDS 00802 TEL. (340) 777-7100, (800) 927-7100; WEBSITE: www.sugarbayresortandspa.com REGISTRATION INFORMATION LAST NAME: FIRST NAME: MIDDLE INITIAL: JOB TITLE: PHONE: FAX: INSTITUTION/ORGANIZATION: EMAIL: ADDRESS: NAME ON BADGE: ARRIVAL DATE: ARRIVAL TIME: AIRLINE/FLIGHT #: DEPARTURE DATE: DEPARTURE TIME: AIRLINE/FLIGHT #: PRESENTATION TITLE: POSTER  ORAL  CHECK AFFILIATION:  CARIBBEAN FOOD CROPS SOCIETY (CFCS)  CARIBBEAN AGROECONOMIC SOCIETY (CAES) ASSOCIATION OF RESEARCH DIRECTORS (ARD) ASSOCIATION OF EXTENSION ADMINISTRATORS (AEA)  AMERICAN PHYTOPATHOLOGICAL SOCIETY - CARIBBEAN DIVISION (APS) AAEA COMMITTEE ON THE STATUS OF BLACKS IN AGRICULTURAL ECONOMICS (COSBAE) PLEASE CHECK:  Do you require special accommodations to fully participate in the meeting?  Do you require a vegetarian meal? PAYMENT INFORMATION Participants can register and pay with credit card by completing the form and e-mail it to cfcs2014conference@gmail.com. Please check appropriate box: VISA ☐ MasterCard ☐ American Express ☐ Expiration Date: _____________________ Card #: _________________________________________________________ Cardholder Name (as it appears on card): _______________________________________________________________________ If payment is by check or money order, please make payable, in U.S. funds, to: UVI/CFCS 50 and mail with the completed registration form to: UVI/CES, RR 1, Box 10000, Kingshill, VI 00850-9781 ATTN: Evannie Jeremiah CONFERENCE REGISTRATION FEE Item Fee/Person Number Amount Registration Fee $ 350.00 Student 250.00 Banquet/Awards Night 55.00 Educational Tour (Select one): – St. Thomas 50.00 St. John 65.00 St. Croix 200.00 TOTAL Save Form Submit Form