2018 Convention Registration Form

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2018 Cattle Industry Convention & NCBA Trade Show - January 31-February 2

ATTENDEE REGISTRATION FORM

Advance Registration Deadline is January 5, 2018 MAILED REGISTRATIONS WILL NOT BE PROCESSED AFTER DEADLINE. This form is designed for one registrant; please make a copy for each additional registrant. Only one registration type per person--they may not be combined. Name (for badge): ______________________________________________________________________________________________ Company/Organization: _________________________________________________________________________________________ Address:_________________________________________________City:___________________________ State/Province: _________ ZIP/Postal Code:_____________________________Country: ___________________________ E-Mail Address: ______________________________________________ Cell Phone*:________________________________________ (E-mail required for confirmation/receipt) o Do not share my e-mail with Exhibitors

o Yes! I'd like to opt in to receive Convention Updates via Text.

What is your primary segment? o Cow/Calf o Seedstock o Dairy Producer -- # of Head:___________ o Feedlot Owner/Manager o Stocker/Backgrounder o Farmer/ Feeder -- # of Annual Marketings:__________ o Retail/Packer o Vet/Consultant o Other_________ Please Check Categories That Apply to You: o NCBA Member

o CattleFax Member

o ANCW Member

o New Member/Convention First-Timer

Age: o Under 20 o 20-24 o 25-29 o 30-34 o 35-39 o 40-44 o 45-49 o 50-54 o 55-59 o 60-64 o over 65 Gender: o Male o Female

If you would like to contribute, please indicate amount below:

o NCBA-PAC/PEF...................................................................................................................................................................................... $______________ o National Cattlemen’s Foundation....................................................................................................................................................... $______________ o CATL Fund.............................................................................................................................................................................................. $______________

TOTAL FROM PAGE 1 AND PAGE 2.................................................................................................................................$______________ o Check here for Special Accommodations Specify: ______________________________________________ Please let us know of any food allergies you have:_____________________ _________________________________________________________ _________________________________________________________

Please review the next page for Registration pricing and information.

Check Payments Only

Make check payable to NCBA and mail, with this form, by January 4 to: NCBA Convention Registration 9110 E. Nichols Ave. Suite 300 Upgrade your Convention registration with a Prime Pass. The Prime Pass is a great way to make your convention experience even easier. Passes are limited and only available for attendees with Full Convention Registrations. The Prime

Pass includes: • Access to the Cattlemen’s Club • Dedicated Trade Show Lunch Buffet Line • Dedicated Entry & Reserved Seating at Select Events (Opening General Session, General Session II, Cowboy Comedy Club) • Two Drink Tickets for major events during the Convention: Trade Show Welcome Reception, Phoenix Fiesta, Cowboy Comedy Club • Dedicated Name Badge Pickup Area • Complimentary use of Luggage/Baggage-Check at Convention Center • Complimentary Post-Event Access to Cattlemen’s College Online Campus • Complimentary Coupons for Local Area Attractions & Restaurants


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