Registration form: 2001 WORLD CONFERENCE ON NATURAL RESOURCE MODELING
JUNE 27-30, 2001 IN LOGAN, UTAH, USA


Name:
          
Title:(Dr., Prof, Ms., Mr.?)  

Address1: 

Address2: 

City:          

State:         

Zip:      

Country:  

Phone:         

Fax:      

E-mail:

Registration fees: (all include the barbeque and banquet except as noted)

___Member (2001 dues paid) US$ 100
___Member register and pay 2001 dues US$ 155
___Student US$ 30(no banquet)
___Student US$ 50
___Non-Member register and join US$ 155
___Non-Member register US$ 125

Credit card owner (Card holder's Name):

Visa #:   
MC #:     

Exp. Date:

Amount authorized

Make check payable to the Resource Modeling Association.

Mail or fax to:

Ken Lyon, RMA Treasurer
Utah State University
Economics Department
3530 Old Main Hill
Logan, UT 84322-3530

Fax: 435-797-2701