REGISTRATION FORM

FDA/The Ohio State University

FOOD SECURITY/RECALL WORKSHOP

Tuesday, November 19, 2002
8 a.m. - 4:15 p.m.
University Plaza Hotel
3110 Olentangy River Road
Columbus, OH 43202

PLEASE PRINT (Print your name as you would like it to appear on your name badge):

Name __________________________________________________________

Company _______________________________________________________

Address _______________________________________________________

City ________________________ State __________ Zip _____________

Phone _________________________ Fax _________________________

REGISTRATION/PAYMENT

Please make checks payable in U.S. Funds only to The Ohio State University in the amount of $90.00

Return registration and remittance to: Julie Townsend
110 Parker Food Science and Technology Building
The Ohio State University
2015 Fyffe Road
Columbus, OH 43210
Phone: 614-292-6281; Fax: 614-292-2859; E-mail: townsend.57@osu.edu

FDA meeting contact: Marie Falcone
Small Business Representative, FDA Central Region
Telephone: 215-597-2120 x 4003 or mfalcone@ora.fda.gov

For room reservations, contact the University Plaza Hotel in Columbus, OH prior to October 28, 2002 at 877-677-5292 or 614-267-7461. Ask for the FDA Food Security and Recall workshop single room rate of $75.00 or double rate of $90.00 plus tax. For directions to the University Plaza Hotel go to http://www.universityplazaosu.com.