GGS FIELD TRIP REGISTRATION FORM

QUATERNARY STRATIGRAPHY AND DEPOSITIONAL ENVIRONMENTS;

JEKYLL ISLAND AND THE GOLDEN ISLES PARKWAY

 

October 6-8, 2006

Headquarters: Buccaneer Beach Resort, Jekyll Island

Please return by September 29, 2006

To

Dr. Randy Kath, Department of Geosciences

University of West Georgia, Carrollton, GA 30118

 

Name as you wish it to appear on name tag ____________________________________________

Affiliation as you wish it to appear ___________________________________________________

                Mailing Address: Home__________ Business ___________ (please check one)

Company or Department ____________________________________________________________

Number, Street or Acad. Inst. ________________________________________________________

City, State, Zip____________________________________________________________________

Daytime phone number ______________________ email _________________________________

 

Registration fee includes: Guidebook, Socials, Refreshments and Dues

Registration Fee (Professional $30.00; Full time student $15.00.                      $ ________________

Please add $10.00 late fee if registering after September 29

Saturday box lunch ($7.00) - meat or veggie (please circle one)                        $________________

Sunday box lunch ($7.00) - meat or veggie (please circle one)                          $________________

Guidebook on CD ($5.00)                                                                               $________________

Total                                                                                                               $ ________________  


For those not attending the trip only

Guidebook by mail  ($10.00)                                                                           $ ________________

Society Dues ($5.00) for 2006-07                                                                   $ ________________

Guidebook on CD ($5.00)                                                                               $________________

Total                                                                                                               $ ________________  

Please make checks payable to Georgia Geological Society

 

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