Media Credential Form
for
The Second International Conference on Women in Agriculture

The Second International Conference on Women in Agriculture will be held June 28-July 2, 1998 at the Omni Shoreham Hotel in Washington, D.C.

In order to secure Conference media credentials, valid media identification must be provided. Valid Identification includes: a media photo identification, a valid White House photo ID, a House or Senate press gallery ID, a Washington D.C. Police Identification or a letter of representation on media letterhead. For more information on obtaining conference media credentials or more information on the conference, please contact Ms. Heather Conover or Mr. Brian Engelhart at (202) 544-1441.

If you plan on attending the conference and will be requesting media credentials, please provide the following information: 

            Name ___________________________________
            
            Address ________________________________
                      Street
            ________________________________________
            City      State/Province Zip/Postal Code
            
            ________________________________________
                    Country
            Phone number ___________________________

            Fax number______________________________

            e-mail _________________________________

            Media Outlet    ________________________

            Days at Conference  ____________________

            ________________________________________

            Special Needs  _________________________

            ________________________________________
An on-site media room will be available that will contain credit card phones with data ports. All breakfast and lunch programs and the closing banquet will be open to credentialed media. Those members of the media wishing to dine with the conference attendees must make reservations for meals by June 19, 1998 and will be charged for meals. Reservations for meals can be made by returning the form .below:

I would like to make a reservation for the following meals: 

Sunday, June 28       Luncheon: $20.00        x _____ persons =    $

Monday, June 29       Breakfast: $15.00       x _____ persons =    $
                      Lunch:  $ 20.00         x _____ persons =    $


Tuesday, June 30      Breakfast: $15.00       x _____ persons =    $
                      Lunch:  $ 20.00         x _____ persons =    $

Wednesday July 1      Breakfast: $15.00       x _____ persons =    $
                      Lunch:  $ 20.00         x _____ persons =    $

Thursday July 2       Breakfast: $15.00       x _____ persons =    $
                      Lunch:  $ 20.00         x _____ persons =    $
                      Banquet: $ 20.00        x _____ persons =    $

                      TOTAL                   $
Please return this form with a check to:

International Conference on Women in Agriculture Robin Bailey, Conference Logistics Manager EduTech Ltd. P.O. Box 14123 Silver Spring, Maryland 20910

* If you wish to pay by credit card, please call Robin Bailey at (301) 585-1030.