ATLANTIC GEOSCIENCE SOCIETY COLLOQUIUM

1999 ATLANTIC GEOSCIENCE SOCIETY COLLOQUIUM AND ANNUAL GENERAL MEETING

February 5-6, Wandlyn Inn, Amherst, Nova Scotia

REGISTRATION FORM

Name:	_______________________________________________________________
Affiliation:	_______________________________________________________________
Address:	_______________________________________________________________ _______________________________________________________________ _______________________________________________________________
Phone:	_______________________________________________________________
E-Mail:	_______________________________________________________________

Registration:	Professional (includes AGS membership)	$30.00 x ___	$ ________
	Students (includes AGS membership)	$12.00 x ___	$ ________
Meals:	Saturday AGM luncheon	$ 7.50 x ___	$ ________
	Saturday evening banquet	$20.00 x ___	$ ________
Atlantic Geology Subscription (for 1999) (members $30, non-members $35)			$ ________
TOTAL:			$ ________

Do you wish to receive your newsletter by e-mail? (check one)	____ yes	____ no
Register for Special Session (free but we need to know approx. numbers)	____ yes	____ no
Wish to present at the Special Session? (if yes contact P. Wallace)	____ yes	____ no

Make cheques payable to the Atlantic Geoscience Society and send to:

The Atlantic Geoecience Society
C/O Department of Earth Sciences
Dalhousie University, Halifax
Nova Scotia, B3H 3J5

Receipts will be at the registration desk.
Back to the AGS Colloquium 1999 Page.