Teagasc Agri-environment Conference 2011 Booking Form

No. of places to reserve:*

Name(s):*

Address:*

Telephone:

Email:*

Conference Fee: €50 per person (includes refreshments and lunch)

Please return booking form with payment to:

Jane Neylon
Teagasc, Mellows Centre, Athenry, Co. Galway
Email: jane.neylon@teagasc.ie
Tel: +353 (0)91 845211 Fax: +353 (0)91 844296

Closing date for receipt of booking forms is: Friday, 4th November 2011