Louisiana Coastal Geology Symposium 2018
Advance Registration Form
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Advance registration must be postmarked by June 30, 2018. Checks should be made out to “New Orleans Geological Society” with “LCGS 2018” in the “For” blank.
Regular advance registration is $40. Student advance registration is $5. Speakers and poster presenters receive free registration.
_____ I am a regular attendee and enclose a check for $40.
_____ I am a student at _______________ university and enclose a check for $5.
_____I am a speaker and request free registration
_____I am a poster presenter and request free registration
Mailing address ______________________________________________________
Email address __________________________________________________
Contact phone number _______________________________________________
Mail your completed registration form and check to:
John E. Johnston III
Louisiana Geological Survey
3079 Energy, Coast and Environment Building
Baton Rouge, LA 70803
Email any questions to John Johnston III at email@example.com