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Conference Registration Form

RMA 2003 World Conference on
Natural Resource Modeling

June 16-19, Beaufort, North Carolina, USA

Please complete the following registration form in capital letters in order to register for the Conference.   Please send the form either by:

  • pressing the Submit button at the bottom of the page

  • copying into an e-mail and using using subject “[Conference Registration]” to bdsmith@fs.fed.us,

  • sending by regular mail to : W. D. Smith, USDA Forest Service, Southern Research Station, 3041 Cornwallis Road, P.O. Box 12254, Research Triangle Park, NC 27709 or

  • faxing with subject “Conference Registration” to +1-919-549-4047. 


Please provide the following contact information:

First Name
Last Name
Middle Initial
Title (Prof, Dr, Mr, Ms, etc)
Organization
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Number of (non-attendee) guests who will accompany you:


Name of (non-attendee) guests:


Please indicate any disabilities we should be aware of:


Please indicate any food preferences (e.g. vegetarian):


Please supply your travel information:

Arrival Date -- dd/mm/yy
Arrival Time -- hh:mm:ss am/pm
Flight Number

Additional comments or information:

Conference Fees:

  • Members (2003 dues paid)
    • $115 before May 1st  (123 Euro)
    • $140 after May 1st  (150 Euro)
  • Nonmembers
    • $170 before May 1st  (182 Euro)
    • $195 after May 1st (209 Euro)
  • Students
    • $40 (excluding banquet).(43 Euro)

Method of payment:

Credit Card (Visa or Mastercard)
Check Enclosed (in $US)

Checks should be payable to “Furman University” and should include the subject: WCNRM2003 and the name of sender.

Credit card information:*

Please note this is NOT a secure server.  If you are uncomfortable with sending your credit card information in this way, you may complete the rest of the form and fax or mail your credit card details separately.
Type of Card
Name as shown on card
Card number
Expiry date (mm/yy)
Authorized amount ($US)
Signature (if mailing or faxing) _________________________________________


 

Copyright © 2001-2005 Resource Modeling Association
Last modified: November 30, 2005