2. Registration fee

Register by 01/30/2009 for a discounted rate of $150 per person. A lunch and a dinner banquet are included. After 01/30/2009, the registration fee will be $200.

Choose one of the following payment options:

Check_______          Credit Card ______

                            Yes                                     Yes

3.   Print out a copy of this form and send together with your check (exact number in US dollars, payable to OSU Research Foundation) to

Tina Gossard, accountant
Department of Food Science and Technology
The Ohio State University
110 Parker Food Science and Technology Building
2015 Fyffe Road, Columbus, Ohio 43210-1007
Phone:  614-688-4195   

or

Fax this form with your credit card information to Tina Gossard at 614-292-2859.  Card number_______________________

Name as appeared on the card___________________ Expiration date__________

Please do not send your credit card information by e-mail.