REGISTRATION

CPDA 2023 ADJUVANTS, INERTS & CROP PROTECTION CONFERENCE 

Please use the form below to register for the upcoming Conference, and to submit payment for the registration fee online. The form below allows for one registration submittal at a time.  Upon submitting the registration you will immediately receive an emailed credit card receipt. 

    CONVENIENCE FEE: If paying by credit card a 3.5% convenience fee is added to the registration total. 

Conference Registration Submission Form

Name *

First

Last

Job Title *

Company Type *

• CPDA Member
• Non-Member

Company Name *

• Address Outside of US

Home Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone Number *

Email *

If paying by credit card, a 3.5% convenience fee has been added to the registration price.

Member Registration *Registration OptionsFull Conference Program - All - ($875 + $30 convenience fee) - $ 905.00General Session ($675 + $25 convenience fee) - $ 700.00Adjuvant University ($200 + $5 convenience fee) - $ 205.00CPDA Staff - $ 0.00

Non-Member Registrations *Registration OptionsFull Conference Program - All - ($1,599 + $55 convenience fee) - $ 1,655.00General Session ($1,199 + $40 convenience fee) - $ 1,240.00Adjuvant University ($400 + $15 convenience fee) - $ 415.00

Total

$ 0.00

Authorize.Net *

Card Number

MM123456789101112Expiration

/

YY2324252627282930313233

Security Code

Submit

*Submittal of this registration provides acknowledgement of acceptance to be listed on the published attendee registration list.  If you wish to have your name removed from the published attendee registration list please contact chaakana@cpda.com.