Seventh Multidisciplinary Conference on Sinkholes and...Karst™

Name/Organization: __________________________________________________
Address:           __________________________________________________

                   __________________________________________________

Phone: ________________ Fax: _______________  E-Mail: _______________

CONFERENCE FEES BY AFTER NO. TOTAL 03/05/99 03/05/99 (US $)
Conference Registration                       $345     $395    ______    ______
(Technical Program, Proceedings, Banquet)
Speaker/Poster (for one author per paper)     $295     $395    ______    ______
(Technical Program, Proceedings, Banquet)
Student (including Speaker/Poster)            $100     $395    ______    ______
(Technical Program, Proceedings, Banquet)
Exhibitor                                     $250     $300    ______    ______
(Exhibit, Banquet for one person)
Exhibitor WITH Conference Registration        $550     $600    ______    ______
(Exhibit, Program, Proceedings, Banquet)
Non-Attending Participant                     $125     $125    ______    ______
(All Materials, including Proceedings)
OTHER FEES
Short Course                                  $150     $150    ______    ______
Student                                       $100     $100
Field Trip                                     $75      $75    ______    ______
Student                                        $50      $50
Short Course AND Field Trip                   $200     $200    ______    ______
Student                                       $125     $125
Guest Ticket (Welcome Social AND Banquet)      $40      $40    ______    ______
Student                                        $40      $40
TOTAL (US $)                                                 _______
_____ Check Enclosed         _____ Purchase Order (No. __________)
_____ Credit Card (Circle One: VISA  MASTER CARD)  Credit Card No. ______________________
      Signature __________________________________ Expiration Date ______________________

Please print registration form, enclose payment, and mail to P.E. LaMoreaux & Associates, Inc., PO Box 4578, Oak Ridge, TN 37831-4578, USA
Seventh Multidisciplinary Conference on Sinkholes and...Karst     January 22, 1999