Joint District Registration Form

Downloadable Registration Form

Hotel reservations must be made directly with the hotel by July 15. To reserve your room, please call 509-455-8888 and state that you are with the IAOM group in order to get the group rate. There are several room choices ranging from $139 to $169.

Registration Form

Last Name		First Name
Nickname		Company
Address		City
State/Province		Zip/Postal Code
Phone		Email

Check all that apply:

Active Member Associate Member Honorary Speaker Non-Member

Committee member

Committee Member Registration

Yes, I am attending the Committee meeting on August 13

No, I will not be able to attend the Committee meeting

Conference Registration Fees*

	By 7/31/08	After 7/31/08	Amount
Conference Fee Salmon Beef	$110**	$120	$
Spouse/Guest Program	$55	$65	$
Golf Registration	$90	$100	$
Handicap or typical score (sandbaggers will be publicly humiliated)
Spouse Name (if attending) Spouse/Guest entree choice Salmon Beef		Total	$

*Conference Registration fee includes technical sessions and banquet.

** The districts are offering a discounted registration fee of $90 to any committee member who stays for the joint district meeting.

Please let us know if there are special dietary considerations

Method of Payment

Please remit the total amount no later than July 31 to avoid the $10 late fee. To pay by credit card contact the IAOM office at 913-338-3377 or complete the form below.

Check

Please make check or money order payable (in US funds) to IAOM Pacific District and mail with completed registration form to:

IAOM Pacific District

c/o Steve Klett

24604 SE 45th Way

Issaquah, WA 98029

Credit Card

Credit Card Type:
Credit Card Number:
Expiration Date:	/
Name as it appears on card:

Paymante may be made using PayPal. Send money to skklett@bemis.com (add $5 to total for service charge).

Refunds/Cancellations

If you have any questions you may call or email Steve Klett at 425-391-6411 (fax: 425-391-6412).

Any cancellations received after July 31, 2008 will not be refunded.

District Officers

Jeffrey Shapiro Director

General Mills, Inc.

Jeff Schanz Chairperson

Cereal Food Processors, Inc.

Kevin Payne

Vice Chairperson

ADM Milling Co.

Steve Klett

Secretary

Bemis Company, Inc.

Steve Kurtz, 1st Exe. Committeeperson

General Mills, Inc.

Sean Costello, 2nd Exe. Committeeperson

ADM Milling Co.

	International Association of Operative Millers 10100 West 87th Street, Suite 306, Overland Park, Kansas 66212 USA • Phone: 913 338-3377 • Fax: 913 338-3553 • info@iaom.info