AGS-EESD 2000 Joint Meeting

The ATLANTIC GEOSCIENCE SOCIETY (AGS)
February 11-12, 2000, Fredericton Inn, Fredericton, New Brunswick

and

THE ENVIRONMENTAL EARTH SCIENCE DIVISION (EESD)
of the Geological Association of Canada
February 10-11, 2000, Fredericton Inn, Fredericton, New Brunswick

REGISTRATION FORM (Please Print)
Name: ________________________________________________________________________
Affiliation: (AGS or EESD)_________________________________________________________
Professional: _____ Student: ______ (check one)
Association: ____________________________________________________________________
Presenter: ____________ yes ___________no
(the above will appear on your badge so make sure it is what you want and is correct)
Mailing Address: _________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Phone: ________________________________________________________________________
E-Mail: _______________________________________________________________________

Registration Fees:
 
Attendance of both AGS and EESD
(includes AGS membership)
professional  $60.00 x ___ $________
student  $20.00 x ___ $________
Attendance of either AGS or EESD
(if AGS, includes AGS membership)
 professional $40.00 x ___  $________
student   $15.00 x ___ $________
Please check the meeting you are attending EESD ____  AGS ____ 
Meals:
Saturday AGM luncheon (AGS) $11.25 x ___ $________
Saturday evening banquet $20.00 x ___ $________
Atlantic Geology Subscription (for 2000)
(members $30, non-members $35)
 $____ x ___ $________
  TOTAL:    $ ________

Other Information:
 
Do you wish to receive your newsletter by e-mail? (check one) ____ yes ____ no
Registered for Workshop ____ yes ____ no
If student presenter, do you wish to be considered for the Noranda Award? ____ yes ____ no

Print the above form to complete the appropriate areas, and then send it to:
Tom Al , Department of Geology, University of New Brunswick, Fredericton, NB, E3B 5A3
fax: 506-453-5055, or email to: tal@unb.ca
Make cheques payable to the Atlantic Geoscience Society (May be paid at time of registration or upon arrival at Fredericton)
Receipts will be available at the registration desk.