Business Affiliation: ____________________________________________________________________________________
NAME(S) OF ACCOMPANYING ATTENDEES: ___________________________________________________________
ADDRESS FOR MAIL _________________________________________________________________
________________________________________________________________
_________________________________________________________________
email __________________________________________ PHONE ______________________________
Advanced payment in not required until September 1, 2010. But you can help us by making advanced payment of the registration fee which includes Conference Proceedings Booklet, 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 made to
the SLU GEOLOGY ALUMNI CONFERENCE
TOTAL: $__________
Are any in your party requiring a non-meat meal? ______ How many
please?
________
BRIEF DESCRIPTION: Please briefly describe yourself for the
printed materials. Suggested format is on the web site.
Please include graduate schools (and years), areas of focus
and career title(s).
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
I WOULD LIKE TO PRESENT A 12-MINUTE TALK WITH THE FOLLOWING THEME OR FOCUS (or title if known) SUBMIT ABSTRACT BY: July 15, 2010
________________________________________________________________________________________________
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: