Business Affiliation: ____________________________________________________________________________________
NAME(S) OF ACCOMPANYING ATTENDEES: ___________________________________________________________
ADDRESS FOR MAIL _________________________________________________________________
________________________________________________________________
_________________________________________________________________
email __________________________________________ PHONE ______________________________
Advanced payment in not required until September 1, 2007. But you can help us by making advanced payment of the registration fee which includes Conference Proceedings Booklet, lunch on Friday, invitation to Dan and Ann Sullivan’s reception, cost of R. O. Bloomer Banquet, and admission to the R. O. and Vera Bloomer lecture and the W. T. Elberty, Jr. Geology Auction:
FOR THE ATTENDEES LISTED ABOVE, I ENCLOSE MY CHECK FOR made to
the SLU GEOLOGY ALUMNI CONFERENCE
TOTAL: $__________
Are any in your party requiring a non-meat meal? ______ How many
please?
________
I WOULD LIKE TO PRESENT A 12-MINUTE TALK WITH THE FOLLOWING THEME OR FOCUS (or title if known)
________________________________________________________________________________________________
I WOULD LIKE TO DONATE A GEOLOGICAL ITEM FOR THE W. T. ELBERTY AUCTION ______I VOLUNTEER TO HELP WITH THE AUCTION. ____________;BE AUCTIONEER_____
OTHER SUGGESTIONS: