MEETING REGISTRATION FORM
1996 Ocean Sciences Meeting
February 12-16, 1996. San Diego, California
RETURN FORM TO:
1996 Ocean Sciences Meeting
AGU
2000 Florida Avenue, N.W.
Washington, DC 20009
Fax: 202-328-0566

This form may be printed and faxed. To avoid duplicate charges, submit one form per registrant.
 
First Name _________________ Middle Initial(s) ____ Last Name _______________________ 
 
Name for Badge ______________________________________________________________________ 
 
Organization/Company ________________________________________________________________ 
 
Address _____________________________________________________________________________ 
 
City __________________ State/Province______________ Zip/Postal Code ________________ 
 
Country __________________ Telephone _______________ E-Mail _________________________ 
 
 
CHECK ONLY ONE SELECTION: 
  
___ ASLO Member               ___ AGU Member 
___ ASLO/AGU Member           ___ Nonmember 
 
Check below if registering as a cooperative society member 
___ Acoustical Society of America 
___ American Meteorology Society 
___ IEEE Oceanic Engineering Society 
___ Marine Technology Society 
___ The Oceanography Society 
 
AGU membership number: 	_________________________ 
___ Please update my AGU membership file with the address information 
 
Please check day(s) you plan to attend: 
 
___Mon    ___Tues    ___Wed    ___Thur    ___Fri 
 
ATTENDEE BACKGROUND INFORMATION: 
(check the appropriate selections below) 
 
Employer Classification 
___ University or College    ___ Other Academic         ___ Other Non-profit  
___ Military, Active         ___ Other Fed. Government  ___ State and Local Government  
___ Business or Industry     ___ Self-employed          ___ Other  
 
Job Function 
___ Basic Research           ___ Applied Research       ___ Development  
___ Management               ___ Teaching               ___ Consulting  
___ Engineering              ___ Field Exploration      ___ Student  
 
Education 
___ Doctorate  ___ Master's  ___ Bachelor's  ___ Associate  ___ No College Degree  
 
___ Check here if you are disabled and require special services.   
    Attach a written description of needs.  A staff member will contact you 
    to discuss measures that can be taken within reasonable accommodations. 
 
REGISTRATION FEES: 
Late registration rates are in effect starting January 13, 1996.  
 
			One Day  	More Than One Day 
Regular Member		___ $102.00	___ $205.00 
Student Member		___ $ 57.00	___ $115.00 
Retired Senior Member*	___ $ 57.00	___ $115.00 
Nonmember		___ $122.00	___ $245.00 
Student Nonmember	___ $ 77.00	___ $155.00 
*Age 65 or older and retired from full-time employment. 
 
                                        $__________ 
SPECIAL EVENTS 
 
Stephen Birch Aquarium-Museum Reception: 
(Tuesday, February 13)  
 
$12.00 each  x __________  =		$__________ 
 
Ocean Sciences Luncheon: 
(Tuesday, February 13)  
If you wish to attend the lunch, indicate the number of tickets  
and total price below. Luncheon is open to all attendees.  
 
$17.00 each  x __________  =		$__________ 
 
 
TOTAL AMOUNT ENCLOSED:                  $__________    
(Registration and Special Events) 
 
PAYMENT INFORMATION 
 
Charge to:    ___ MasterCard    ___ VISA    ___ American Express  
 
Card Number__________________________  Exp. Date_______________ 
 
Signature______________________________________________________ 
 
Enclosed is my    ___ Check    ___ Other 	 
 
(Indicate method, i.e., postal money order, bank draft.) 
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