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.

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All contents copyright © 1999. Atlantic Geoscience Society. All rights reserved.