REGISTRATION FORM
36th ANNUAL MEETING
DESERT FISHES COUNCIL
11-14 November 2004
Tucson, Arizona
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:
secretary at desertfishes dot org
One sheet must be filled out for each person attending the meeting. DEADLINE FOR RECEIPT IS August 27, 2004
Date:_____________________________________
Name:________________________________________________________
Address:________________________________________________________
_______________________________________________________________
_______________________________________________________________
Voice:____________________________ FAX:_________________________
E-mail:__________________________________________ ________________
REGISTRATION IS ONLY FOR 2004 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 | $130 | $180 | = $ |
Student Member | $65 | $90 | = $ |
Non-Member Regular | $180 | $230 | = $ |
Non-Member Student | $90 | $115 | = $ |
Reception & Banquet (Barbecue) | included | included | = $ |
Optional donation to support travel grants | = $ | ||
TOTAL ENCLOSED | = $ |
36avo CONGRESO ANUAL
CONSEJO DE PECES DEL DESIERTO
11-14 November 2004
Tucson, Arizona
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:
secretary 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 27 AGOSTO 2004
Fecha:_____________________________________
Nombre:________________________________________________________
Dirección:________________________________________________________
_______________________________________________________________
_______________________________________________________________
Telefono:____________________________ FAX:_________________________
E-mail:__________________________________________ ________________
INSCRIPCION ES SOLO PARA EL CONGRESO DE 2004. 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 | $130 | $180 | = $ |
Miembro Estudiante | $65 | $90 | = $ |
No-Miembro Regular | $180 | $230 | = $ |
No-Miembro Estudiante | $90 | $115 | = $ |
Rompe Hielos y Banquete (Barbecue) | incluido | incluido | = $ |
Donativo opcional para apoyar becas para viajes a los congresos | = $ | ||
TOTAL PAGADO | = $ |
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General information: (E. Phil Pister) |
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This page last modified: 19 June 2004