Chapman Conference on the Application of GIS, Remote Sensing, Geostatistics, and Solute Transport Modeling to the Assessment of Non-Point Source Pollutants in the Vadose Zone

October 19-24, 1997
Riverside, California

REGISTRATION FORM
DEADLINE: SEPTEMBER 15, 1997

Name:_______________________________________________________



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Address:____________________________________________________



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REGISTRATION FEES:  There are no one-day pro-rated

registration fees. Participant registration fees cover

admission to all scientific sessions,  refreshment breaks,

reception, and conference dinner. Please check off the

appropriate registration box:



[  ]  Scientists $245

[  ]  Students   $125



EXTRA TICKETS:  Registrants may purchase extra reception and

conference banquet tickets for accompanying persons:



[  ] Reception $15.00 each x ____ tickets = ____

[  ] Banquet   $40.00 each x ____ tickets = ____



TOTAL AMOUNT ENCLOSED  (Registration and Extra Tickets): 

           $________



PAYMENT INFORMATION: Payment in U.S. dollars must

accompany this form.



[  ] Check (payable to AGU)



or



Credit Card:



[  ] AMEX     [  ] VISA      [  ] Mastercard    



Cardholder's Name:____________________________________



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Exp. Date:________________



Zipcode of Billing Address:________________



Please indicate any special requests, needs or restrictions,

such as disabilities, or dietary restrictions:

COMPLETE THIS FORM AND RETURN BY SEPTEMBER 15 TO:

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