Wheat State District Registration Form

Wheat State District Winter Meeting and Technical Conference

December 1, 2008

Holiday Inn Select, 549 S Rock Road, Wichita KS 67207

Tel: 316-686-7131

 

Downloadable Registration Form

Program

 

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

 

Check all that apply:

Member                   Non-Member       Emeritus, Distinguished or Honorary Member

 

Conference & Banquet Registration Fees*
  By December 1 After December 1

Amount
IAOM Member $85 $95 $
Non-Member $95 $105 $
Emeritus, Distinguished or Honorary Member $70 $80 $

Technical Conference Only*
Member $30 $40 $
Non-Member $40 $50 $

Banquet Only

 

 

 
IAOM Member $65 $75 $
Non-Member $75 $85 $
Emeritus, Distinguished or Honorary Member $55 $65 $
Spouse/Guest $60 $70 $
             Spouse Name (if attending)

Total

$

 *includes lunch

 

Please let us know if there are special dietary considerations

 

Method of Payment

 

Check

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

 

IAOM Wheat State District

c/o Dick Zimmerman

1710 N. Mosley

Wichita, Kansas 67214

 

Credit Card           

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

 

Refunds/Cancellations

 

If you have any questions you may call Dick Zimmerman at Creason Corrugating & Machinery Co. 316-744-0061. 

Any cancellations received after December 1, 2008 will not be refunded. 

 

Hotel Reservations

A block of rooms has been reserved at the Holiday Inn Select at the rate of $84/night +tax. Please call 316-686-7131 by December 1 to make your reservation in the block for the IAOM Wheat State District.

 

District Officers

 

 

 

 

 

 

 

 

 

Joe Woodard

Director

ADM Milling Co.

 

David  Mog

Chairperson

Cereal Food Processors, Inc.

 

Steve Matson

Vice Chairperson

Horizon Milling LLC

 

Dick Zimmerman

Secretary/Treasurer

Creason Corrugating & Machinery, Inc.

 

Marty Baker, 1st Exe. Committeeperson

ADM MIlling Co.

 

Merlin Eck, 2nd Exe. Committeeperson

Horizon Milling LLC

 

Mark Fowler, 3rd Exe. Committeeperson

Kansas State University
 
International Association of Operative Millers
5001 College Blvd., Suite 104, Leawood, Kansas 66211 USA • Phone: 913 338-3377 • Fax: 913 338-3553 • info@iaom.info