The West Antarctic Ice Sheet September 13-18, 1998 · Orono, Maine REGISTRATION FORM DEADLINE: AUGUST 10, 1998

Name:          _______________________________________________________________________________ 
Badge Name:    _______________________________________________________________________________
Address:       _______________________________________________________________________________
               _______________________________________________________________________________
               _______________________________________________________________________________
City:          ______________________ State/Province: ________  Zip/Postal Code: _____________
Country:       ____________________________
Phone:         ____________________________    Fax: _________________________
E-mail:        ______________________________________________________________

PARTICIPANT REGISTRATION FEES:  There are no one-day pro-rated registration fees.   
Participant registration fees cover admission to all scientific sessions, shuttle service to/from 
meeting site,  refreshment breaks, reception, conference banquet*, and field trip. Please check 
the appropriate registration box:
[  ]  Scientists        $245
[  ]  Students          $145
*Please indicate your preferred banquet entree:
[  ] Steak     [  ] Lobster     [  ] Vegetarian

GUEST TICKETS:  Registrants may purchase extra reception and conference banquet 
tickets for accompanying persons:

[  ] Reception     $20.00 each x ____ tickets = ____
[  ] Banquet*      $35.00 each x ____ tickets = ____
[  ] Field Trip    $25.00 each x ____ tickets = ____
*Please indicate your preferred banquet entree:
[  ] Steak     [  ] Lobster     [  ] Vegetarian

Guest Name: _______________________________

TOTAL AMOUNT ENCLOSED  (Registration and Extra Tickets):           $________

PAYMENT INFORMATION: Payment in U.S. dollars must accompany this form.

[  ] Check (payable to AGU) OR


[  ] AMEX            [  ] VISA            [  ] Mastercard    

Cardholder's Name: _______________________________________________________________ 
Card No.: ______________________________________________ Exp. Date:_______________
Signature: _______________________________________________________________________

Please indicate any special requests, needs, or restrictions, such as disabilities, 
or dietary restrictions:
__________________________________________________________________________________

COMPLETE THIS FORM AND RETURN BY AUGUST 10 TO:
AGU-Ice Sheet Chapman, 2000 Florida Ave., NW, Washingon, DC 20009; Fax: +1-202-328-0566