June 8th, 2016
University of Florida
Gulf Coast Research & Education Center
14625 CR 672, Wimauma, Florida 33598
Advance Registration Form
Seed Seminar
Name:
[Advanced Registration $75
Company: University Faculty & Staff $35
Address: Students N/C (ID Required)
city: St Zip. Includes Lunch
Payment Method:
Phone: Email
Check
Credit Card
— ES Credit Cara No Exp Date
— Secunty Cove’
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Prone: (Ghone number associated wth credit card biting)
Please Return Form To:
Florida Seed Association, Inc.
2161 East CR 540A, PMB 236
Lakeland, Florida 33813
Fax: 863-582-9363
Email: awood92014@aol.com
Ifyou have any questions please call us at 863-660-6540 or awood92014@aol.com