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BILLING INFORMATION

* The Cooking Demo will be videotaped and placed on the Internet for viewing. Videotaping may include audience scenes. By registering for this event I acknowledge possible use of my image on the video and approval of its posting online. Furthermore, I release Kentucky Association of Electric Cooperatives, the publisher of Kentucky Living magazine, and Kentucky Beef Council free use of my image on the videotape.
* First Name:
* Last Name:
* Billing Address:
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* Please register me for the  
following number of attendees:
# of attendees $10 each
* Type of Credit Card: Visa    MasterCard
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* Expiration Date:

Please enter your credit card expiration date in this format MMYY. Do not include spaces or dashes. Example: Enter 0712 for July 2012

HOW OFTEN DO YOU EAT BEEF?

Less than 2 times a week
2-5 times a week
6 times or more a week

ABOUT HOW MANY TIMES PER WEEK DO YOU...

Prepare beef at home?
Eat beef at a restaurant?

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