REGISTRATION FORM

MODFLOW and More: Ground Water and Public Policy
May 19-21, 2008


To register, submit the following form or contact:
International Groundwater Modeling Center
phone: +1 303 273-3103
fax: +1 303 384-2037
email: igwmc@mines.edu

 

Registration Rates

The Conference registration fee includes the conference proceedings, evening receptions, lunches, and breaks.

Category Before May 14*** On Site Discount Amount
IGWMC Member *
$ 593.75
$ 643.75
5% Discount
Student **
$ 412.50
$ 462.50
33% Discount
Nonmember
$ 625.00
$ 675.00
No Discount

A red asterisk (*) indicates a required field.

First Name: *

Middle Initial:

Last Name: *

Suffix:

Organization_Company: *

Street Address 1: *

Street Address 2:

City: *

State/Province: *

Country: *

Zip/Postal Code: *

Phone (include country code): *

Fax (include country code):

E-mail Address: *

 

  

Total Amount: *

Payment Option *:

Credit Card
Check
 Purchase Order (US Only)
Cancellations

The full registration fee will be refunded if written notification is received by March 31, 2008. A $100 proccessing fee will be retained for cancellations made by April 30, 2008. No refunds will be issued for requests received after April 30, 2008.
Would you like to help?

You can donate to a fund to support travel for scientists and engineers from the developing world. IGWMC will waive registration for the selected participants. We expect to spend all such funds on travel for this confernece, but if some funds remain they will be held in the developing nation traveler's fund for the next conference.

I would like to donate to support travel of a scientist or engineer from a developing country.

$25.00

$50.00

$100.00

Other