	1999 Fall Meeting Press Registration Form

Fax to:	Harvey Leifert +1 (202) 328-0566
Mail to:	Harvey Leifert AGU 2000 Florida Avenue N.W. Washington, DC 20009, USA
Or:	Take completed form to Fall Meeting Press Room.

Name (to be printed on badge):
Mailing Address: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________
Telephone:	Fax:
Email Address:
Media Affiliation: (Freelancers: Describe your eligibility per criteria in Media Advisory of October 14, 1999.) ______________________________________________________________
Abstract Book (Check one box below)
____ Send Abstracts to me at the above address by USPS First Class mail. ____ Send Abstracts to me at the above address (no P.O. Boxes!) via express service ____ Do not send Abstracts in advance; hold for me in the Press Room.
Name of service (e.g. FedEx, UPS, etc.):	_______________________________
Class of service (e.g. next day, 2nd day, etc.):	_______________________________
My Account Number:	_______________________________
Press Field Trip on San Francisco Bay, Sunday afternoon, December 12: Do you wish to participate? ____ Yes ____ No (If left blank, response will be treated as “no.”)