Third Northern Plains Winter Storm Conference 25-26 September 2008
Registration Form (deadline Wednesday, September 10, 2008)
Cost:
(1 Luncheon, Morning/Afternoon Snack Breaks Included)
Name: ______________________________________________________________
Street Address: ______________________________________ _________________
City: ________________________________________________________________
Zip/Postal Code: ______________________________________________________
Work Phone: _________________________________________________________
Cell/Alternate Phone: __________________________________________________
Email Address: _______________________________________________________
Company/Institution: __________________________________________________
Payment Information:
Payment made by credit card, check, or money order. Make check payable to: Saint Cloud State University
Credit Card Info (circle MasterCard or VISA)
Name as on Card: _______________________
Address of Card Holder: (if different than above) ______________________________
City/State/ZIP _________________________________________________
Card Number: _________________________ Expiration Date: ________
Security Code (on back of card): ___________________
Please send registration form to:
Department of Earth and Atmospheric Sciences
WSB 41
720
Phone: (320) 308-3260
FAX: (320) 308-4262
Thank you for supporting and attending the Third Northern Plains Winter Storms Conference!
Return to Third Northern Plains Winter Storm Conference Page
Last Updated: August 19, 2008
Send comments to Bob Weisman