INTERNATIONAL TOTAL DIET WORKSHOP Registration Form

World Health Org logo FDA logo

REGISTRATION FORM

INTERNATIONAL TOTAL DIET WORKSHOP

JULY 25 - AUGUST 6, 1999

CROWNE PLAZA
45TH AND MAIN STREETS
KANSAS CITY, MISSOURI 64111 USA

Registration form must be received by July 1, 1999. There is no Registration/Course fee;
however, we will notify you via mail or fax of your registration status.

To register on-line, please complete the form below and click SUBMIT.

1. Last Name:
First Name:

2. Department/
Agency/Bureau:

3. Mailing Address:
Street Address 1:
Street Address 2:

City:
State or Province:

Zip Code: Country:

4. Phone Number:
Country Code:Area Code:Phone Number:
Extension:

5. Fax Number:
Country Code:Area Code:Fax Number:

6. E-Mail Address:

The workshop will consist of two, one-week segments. Week One (July 25 – July 30) will review the design, planning and evaluation of Total Diet Studies. Week Two (August 2 – August 6) will examine laboratory techniques and methods for food analysis.

7. I will be attending in the full, two weeks workshop or only in Week One?

Week One (July 25 – July 30, 1999) Both Weeks (July 25 – August 6, 1999)

To register by mail, please complete the form above, print it and mail to:

ITDW
U.S. Food and Drug Administration
11630 W. 80^th Street, P.O. Box 15905
Lenexa, Kansas 66285-5905 USA

To register by FAX, please complete the form above, print it and fax to: 1-913-752-2111.

HOTEL INFORMATION

You are responsible for making your own hotel reservation. A limited number of rooms are available for the "FDA" at the Crowne Plaza Hotel, 45^th and Main Streets, Kansas City, Missouri 64111 USA. Telephone 1- 816- 531-3000 or Fax 1- 816-531-4164. A rate of $95.00 per day plus tax is available for reservations made before July 4, 1999.

CONTACT NUMBERS

If you have any questions, please contact one of the following individuals:

WHO (Geneva, Switzerland): Lisbeth Barclay 41-22-791-3536
E-MAIL: BarclayL@WHO.CH

FDA (U.S.A.): Mike Rogers at 1-913-752-2144
E-MAIL: MRogers@ORA.FDA.GOV

Millie Barber at 1-913-752-2155
E-MAIL: MBarber1@ORA.FDA.GOV

NOTE: THE LANGUAGE OF THE WORKSHOP WILL BE ENGLISH.