INTERCOLLEGIATE MEAT JUDGING REGISTRATION FORM - 2011

Please enter your information below. Fields with * are required.

1. School and Coach Information

*School / University:

*Coach First Name:

*Coach Last Name:

Assistant Coach Name:

*Mailing Address 1:

Mailing Address 2:

*City:

*Country:

*State/Province:

*Postal Code:

*E-Mail:

*Work Phone:

Other Phone:

2. Contests/Registration Fees

	*Contest Name	Registration Fees	*Lodging Location or Cell Phone Number
	Eastern National Contest	$200.00
	American Royal Contest	$200.00
	Cargill Meat Solutions High Plains Contest	$200.00
	International Contest	$200.00
	Registration Fees Total :	$0.00

3. Student Information

*Name	City	State/ Province	E-Mail	Class Year	Anticipated Graduation Year	GPA

4. Payment Processing / Billing Information

NOTE : Select "Invoice" from the Payment Types dropdown menu below, if you want us to send you a bill.

*Payment Types:

*First Name:

*Last Name:

*Billing Address 1:

Billing Address 2:

*City:

*State:

*Postal Code:

NOTE : Fields with * below are not required if you choose "Invoice" as Payment Type. Otherwise Required.

*Credit Card Number:

*CVV Code:

*Expiration Date : (MM/YYYY)

Credit card charges will appear as "MEAT SCIENCE ASSOCIATION" on credit card statements.

Click the submit button to complete your registration. This will acknowledge that you will enter a judging team one or more of the Intercollegiate Meat Judging Contest contests, as selected above and that this team will meet all requirements as set forth in the rules and regulations governing the contest.

**WARNING!!! Please don't click the submit button more than once or click anywhere on the screen when the transaction is in progress.