Registration Form

Registration Fees:

$450 for SEPM Members
$500 for non-members

Personal Details

Are you a member of SEPM?

yes - SEPM Member Number
no
Learn more about the benefits of membership with SEPM at http://www.sepm.org/membership/mbrhome.htm

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First Name

Last Name

Company

Street Address

City

State/Province

Postal Code

Country

Phone Number

Fax Number

Email

Registration Fees:

$450 for SEPM Members
$500 for non-members

Payment Details

Credit Card Visa MasterCard American Express

Card Number

Expiration Date

Security Code

Card Holder's Name

Total Amount Charged

Registration includes …

• Reception
• All lunches
• All Field Trip transportation
• Some conference shuttles will run from Salt Lake City Airport to Rock Springs and return

* Students can apply for a registration grant by contacting Ron Steel (rsteel@mail.utexas.edu)

Housing …

Housing will be paid by attendees directly to the hotel and is not included in the registration fee. A limited block of double-occupancy rooms at a conference rates have been reserved at the Wingate by Wyndham.

The Wingate Inn - Rock Springs
#307.382.5181
Group Name: SEPM
Please use this group name to recieve the Conference room rates.

Single rooms are also available there and at other hotels in Rock Springs on a first-come basis, there are no other conference room blocks.

For other hotels in Rocks Springs:

www.travelocity.com

Please contact Theresa Scott at tscott@sepm.org if you have any questions.

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