"An Evening with Wes Jackson"

REGISTRATION FORM 
please return via mail, fax or email to:
 
 
Geoff Zehnder: Fax:     864-656-6863
  Email:  Zehnder@CLEMSON.EDU
  Mailing Address:
Entomology Department
Clemson University 
114 Long Hall, Box 340365 
Clemson, SC  29634-0365

Yes, I wish to attend the "An Evening with Wes Jackson" event: 
    (Please indicate yes or no to each statement below.)

     __________I will attend the lecture only.

     __________I will attend the breakout discussion session following hors d'oeuvres.

Please provide suggestions for breakout session topics related to the subject of
Dr. Jackson's talk  (e.g., Land Grant University role in a changing agriculture, funding opportunities, 
can farmers compete given this new agricultural paradigm?, etc.) 

Suggestion(s) for Breakout Session Topics: 
_____________________________________________________________________________________       _____________________________________________________________________________________       _____________________________________________________________________________________

NAME: __________________________________        PHONE: ________________________

OCCUPATION AND WORK ADDRESS: ________________________________________________________________________________________________
________________________________________________________________________________________________

EMAIL: _____________________________________________