Chalk Symposium, September 2015

Registration form.

(registration fees are estimates)

Name

Address

Telephone number

e-mail address

I plan to attend the Lincolnshire field trip on Thursday 10^th September (£15 for travel by bus)

I plan to attend the symposium on Friday and Saturday (about £90 registration)

I plan to attend the Symposium Dinner on Friday (about £30)

I plan to attend the conference on Saturday 12^th afternoon (FOC)

I plan to attend the Yorkshire field trip on Sunday 13^th September (£15 for travel by bus)

I can offer lifts for the field trip on Thursday and/or Sunday

I would like a lift for the field trip on Thursday and/or Sunday

I have a disability (please give details)

I have special dietary requirements (please give details)

I wish to present a short (10 minute) talk at the meeting

I wish to display a poster at the meeting

I wish to display specimens at the meeting

I wish to register as a Local Delegate (excludes the Ice Breaker, refreshments, lunch and dinner)

I am a member of the Hull Geological Society

Delegates who are members of the Hull Geological Society should return the form to the HGS Secretary, 28 Salisbury Street, Hull, HU5 3HA

Non-Members should contact Dave Greenough by e-mailing - (chalk-symposium@hull.ac.uk)