Gaffney Turtle SymposiumGaffney Turtle Symposium Registration

• First Name:
• *

• Last Name:
• *

• Name for Badge:

• Organization/Institution:

• Mailing Address:
• *

• City:
• *

• Province/State:
• *

• Country:
• *

• Postal/Zip Code:
• *

• Daytime Phone Number:
• *

• E-Mail:
• *

• Fax:

• Please indicate any special dietary or other needs:

• 1) Registration (includes icebreaker, symposium sessions and barbeque)
• *

• 2) I will attend the icebreaker at the Royal Tyrrell Museum on October 16, 6:00 – 9:00 p.m.
• *

• 3) I will attend the BBQ on Saturday, October 17, 6:00 p.m. (one ticket is included in registration)
• *

• 4) Extra BBQ ticket for guest:
• *

• $25 x

• (N° of tickets)=

• 5) I am presenting a talk:
• *

• Or poster:

6) Dinosaur Provincial Park Field Trip (Monday, October 19, 2009) - departs from Ramada Inn; includes box lunch; supper is extra,click here to find out more about the field trip *

Yes, I would like to come - $75

• Total:

CANCELLATION WITH FULL REFUND AVAILABLE THROUGH SEPTEMBER 7. 2009.