116^th Annual Convention Registration
(Please print and mail with your payment)

Ritz Carlton * Amelia Island, FL * Apr. 29 - May 1, 2012

Name_________________________________________________

Company______________________________________________

Address_______________________________________________

City______________________ State_______ Zip _____________

Phone___________________ FAX _________________________

E-mail ________________________________________________

Registration Fees

Number of People                                Prior to April 6             After April 6

 _____              Member/Non-Member            $350                           $400

_____              Spouse / Other                         $ 100                           $ 125

_____              Children                                   $ 100                           $ 125

                                     Total                           $____                          $____

Number Attending  (included with full registration)

 _____              Sunday Evening Reception
 _____              Monday Spouse Luncheon
 _____              Monday Evening Reception  & Theme Party
 _____              Tuesday Morning Business Session
 _____              Tuesday Evening Reception

 Special Events- Scramble Golf Tournament - SUNDAY, APRIL 29

Number of Players

_____              Scramble Golf Tournament                   $185
                        (includes box lunch)

                                 Total                                        $_____

Player(s)  Handicap __________ 

Payment                                                 Total Enclosed              $______

Sorry, credit cards not accepted.  Please make checks payable to:

National Cottonseed Products Association
866 Willow Tree Circle
Cordova, TN 38018