The training begins on Tuesday, September 2 at 3 p.m. and adjourns on Saturday, September 6 at 11:30 a.m. Tuesday through Friday sessions adjourn at 5 p.m., leaving evenings free. The registration fee covers all training materials, instructor costs and meeting expenses. Checks should be made payable to the Southern Rural Development Center (Federal ID #64-6000819). Registration refunds will be made for cancellations made at least three working days prior to the training.
 
(PLEASE PRINT)
   
Name: ____________________________________________________

 

Preferred Name: ____________________________________________________

 

Title: ____________________________________________________

 

Organization: ____________________________________________________

 

Address: ____________________________________________________

 

City: ____________________________________________________

 

State: _______________

 

Zip: _______________

 

Phone: ______________________

 

Fax: ______________________

 

E-mail: ____________________________________________________
   
Payment Information for $195 Registration Fee (please check):
________
 Check q enclosed q to follow
________
 Purchase Order q enclosed q to follow
________
 Money Order q enclosed q to follow
________
 Credit Card (see below)
 
Credit Card Type ___________________________________________________________
 
Credit Card Number _______________________________________________________________
 
Name of Card Holder ______________________________________________________________
 
Expiration Date __________________________________________________________________
 
Signature _______________________________________________________________________
 

Online registration available at: https://secure.msucares.com:79/srdc/registerbst.htm

Southern Rural Development Center
Box 9656 n 410 Bost Extension Building
Mississippi State, MS 39762
Phone: (662) 325-3207 n Fax: (662) 325-8915