REGISTRATION FORM
35th ANNUAL MEETING
DESERT FISHES COUNCIL
20-23 November 2003
Furnace Creek Ranch
Death Valley National Park, California
Send Completed Form To:
E. P. (Phil) Pister, Executive Secretary
Desert Fishes Council
P.O. Box 337
Bishop, CA 93515-0337,
USA
Voice and FAX: (760)-872-8751
e-mail:
DFC at desertfishes dot org
One sheet must be filled out for each person attending the meeting. DEADLINE FOR RECEIPT IS SEPTEMBER 5, 2003
Date:_____________________________________
Name:________________________________________________________
Address:________________________________________________________
_______________________________________________________________
_______________________________________________________________
Voice:____________________________ FAX:_________________________
E-mail:__________________________________________ ________________
REGISTRATION IS ONLY FOR 2003 MEETING. MEMBERSHIP DUES NOT INCLUDED (but required for paper presentation).
Registration is to be paid in U.S. Dollars, which must accompany the application (personal checks accepted from domestic registrants; International Money Orders or Bank Drafts for foreign registrants).
Registration Category | Payment received before deadline |
Payment received after deadline |
Amount enclosed |
Regular Member | $50 | $80 | = $ |
Student Member | $20 | $30 | = $ |
Non-Member Regular | $60 | $90 | = $ |
Non-Member Student | $30 | $60 | = $ |
Banquet (Barbecue) | $20 | NOT AVAILABLE AFTER OCTOBER 15 | = $ |
Optional donation to support travel grants | = $ | ||
TOTAL ENCLOSED | = $ |
35nto CONGRESO ANUAL
CONSEJO DE PECES DEL DESIERTO
20-23 de noviembre de 2003
Furnace Creek Lodge
Furnace Creek, California
U.S.A.
Envie formulario con pago a:
E. P. (Phil) Pister, Executive Secretary
Desert Fishes Council
P.O. Box 337
Bishop, CA 93515-0337
USA
Voice and FAX: (760)-872-8751
e-mail:
DFC at desertfishes dot org
Se debe de llenar una forma por persona que atienda la reunión. FECHA LIMITE PARA EL RECIBO DE PAGOS ES EL 5 DE SEPTIEMBRE DE 2003
Fecha:_____________________________________
Nombre:________________________________________________________
Dirección:________________________________________________________
_______________________________________________________________
_______________________________________________________________
Telefono:____________________________ FAX:_________________________
E-mail:__________________________________________ ________________
INSCRIPCION ES SOLO PARA EL CONGRESO DE 2003. NO INCLUYE CUOTAS DE MEMBRESIA (pero se requiere para presentar un trabajo).
El registro se debe de pagar en dólares americanos, los cuales deben de hacerse acompañar de la solicitud (cheques personales de personas de Estados Unidos podrán ser enviados; Ordenes de Pago Internacionales o cheques de caja se deberán enviar por interesados de otros paises)
Categoría de Inscripción | Pago recibido antes de la fecha limite |
Pago recibido despues de la fecha limite |
Total |
Miembro Regular | $50 | $80 | = $ |
Miembro Estudiante | $20 | $30 | = $ |
No-Miembro Regular | $60 | $90 | = $ |
No-Miembro Estudiante | $30 | $60 | = $ |
Banquete (Barbecue) | $20 | NOT AVAILABLE AFTER OCTOBER 15 | = $ |
Donativo opcional para apoyar becas para viajes a los congresos | = $ | ||
TOTAL PAGADO | = $ |
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This page last modified: 06 June 2004