REGISTRATION INFORMATION |
| Items with a * are required. |
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| Prefix |
(Dr., Mr., Mrs., etc.) |
| First Name* |
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| Last Name* |
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| Suffix |
(Sr., Jr., III, etc.) |
| Nickname for Badge |
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| Company |
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| Address* |
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| City* |
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| State* |
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| ZIP Code* |
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| Phone Number* |
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| Email Address* |
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| Spouse or Guest FULL Name |
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| Spouse Email Address |
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| Arrival Date |
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| Departure Date |
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INTEREST GROUP* |
Producer
Ginner
Cooperative
Warehouser
Merchant
Cottonseed
Manufacturer
Other
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FEES |
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