herring

Herring 2000: Expectations for a New Millennium

Registration Form

Name:____________________________________________________________
     
Affiliation:_____________________________________________________
     
Address:_________________________________________________________
          
City:_______________________________ State/Province:_____________
     
Country:_______________________ Zip/Postal Code:_________________

Phone:____________________ E-mail:_______________________________

REGISTRATION FEE (check appropriate amount):

  [ ] $175.00 until January 15       [ ] $200.00 after January 15

Herring2000 collectible T-shirt:

  Number of each size: M ___   L ___   XL ___

  Total number of shirts: _____ at $12.00* US each = _______

  * $15.00 after Jan. 15 and at symposium

  Registration $________

  T-shirts     $________

  Total        $________
    
PAYMENT

  [ ] Check payable to University of Alaska Sea Grant enclosed
        
  [ ] Charge my VISA or MasterCard account

Card number: __________________________________ Expires: ________

Signature:_____________________ Printed Name:____________________
     
Please fax or mail form to:

Alaska Sea Grant College Program, University of Alaska Fairbanks
P.O. Box 755040, Fairbanks, AK 99775-5040 USA
Fax: (907) 474-6285



Herring 2000 registration page | Alaska Sea Grant Meetings