------Registration Form Environmental Issues Update for Medium CAFO Feedlots and Dairies------

Please complete the form and mail form and fee(s) to the address associated with the site where you plan to attend. Registration is required by June 22 so we can adequately prepare for lunch and handout materials.

Step 1: Check the box where you plan to attend:

Jun 27. Meeting Location: NICC Dairy Center, Room 115, 1625 Hwy 150, Calmar, Iowa.

Please contact the Winneshiek County Extension office at 563-382-2949, orprint and mail the registration form and fees to: Winneshiek County Extension Office, 325 Washington St., Decorah, Iowa 52101.

June 28. Meeting Location: Country Junction Restaurant, 913 15th Ave. SE, Dyersville, Iowa.

Please contact the Dubuque County Extension Office at 563-583-6496, or print and mail the registration form and fees to: Dubuque County Extension Office, 14858 West Ridge Lane, Suite 2, Dubuque, Iowa 52003

June 29. Meeting Location: Buzzy’s Restaurant, 414 Main St., Welton, Iowa.

Please contact the Clinton County Extension office at 563-659-5125 to registeror print and mail the registration form and fees to: Clinton County Extension Office, 400 E. 11th Street, DeWitt, Iowa 52742

June 30. Meeting Location: Moose Lodge, Charles City,1116 S. Grand Ave., Iowa.

Please contact the Floyd County Extension office at 641-228-1453 to register or print and mail the registration form and fees to: Floyd County Extension Office, 112 N. Main St., Charles, City, Iowa, 50616

Step 2. Your Name (please print): ______

Address: ______

Phone Number: ______Email:______

Step 3. Names of each additional person from your livestock operation who will be attending (please print):

______

______

Step 4. The cost is $30 for each individual or the first person from each livestock operation and an additional $15 for each additional person attending from your livestock operation. Please make your check payable to Iowa State University Extension.

Credit Card Registrations: Anyone wishing to register with a credit card should call Jerolyne Packer, Agribusiness Education Programs, Iowa State University, 515-432-9548.

. . . and justice for all

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Many materials can be made available in alternative formats for ADA clients. To file a complaint of discrimination, write USDA, Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington, DC 20250-9410 or call 202-720-5964.Cooperative Extension Service, Iowa State University of Science and Technology, and the United States Department of Agriculture cooperating.