IASCP NORTHERN POLAR REGIONAL MEETING

AUGUST 17 – AUGUST 21, 2003

PRE-REGISTRATION FORM

PRE-REGISTRATION INFORMATION:  ALL CONFERENCE PRESENTERS ARE REQUIRED TO PRE-REGISTER PRIOR TO JULY 31, 2003.  ONSITE REGISTRATION WILL BE AVAILABLE FOR CONFERENCE OBSERVERS. 

(Please type or print)                                      ~ Check here if formal letter of invitation is needed.                                                                                                     

Last Name (Surname):                                                         First Name (Preferred):

Organization:

Mailing Address:

City:                                                        State/Province:                                                     Postal Code/Zip:

Country:

E-mail:                                                    Phone:                                                                    Fax:

REGISTRATION FEES:

____Conference Participant US$200.00 (Registration fee includes registration packet, morning and afternoon refreshments, 2 lunches, 1 Awards Banquet ticket, and 1 Alaska Native Heritage Center Tour & Dinner ticket.)

____Conference Observer US$110.00 (Registration fee includes registration packet, morning and afternoon refreshments, and 2 lunches.  Dinner tickets can be purchased separately.)

SPECIAL EVENTS:  (Please specify number.)  Click here for Event & Field Trip Descriptions.

____Awards Banquet, August 18^th                                                                                 US$55.00

____Alaska Native Heritage Center Tour & Dinner, August 19^th                              US$75.00

FIELD TRIPS, August 20, 2003 (Please specify number.) 

____Phillips 26 Glacier Cruise in Prince William Sound                                              US$173.00

____Talkeetna Tour                                                                                                          US$ 90.00

FIELD TRIPS, August 21, 2003 (Please specify number.)  

____Seward’s Exit Glacier & the Alaska Sealife Center                                                US$105.00

____Nome Arctic Alaskan Tour                                                                                       US$366.00

____Kotzebue Arctic Alaskan Tour                                                                                 US$366.00

                                                                                                TOTAL SUBMITTED$__________

IASCP reserves the right to correct the total amount due.        

___Check or Money Order (payable to IASCP in US$)  

___Credit Card           ~  Discover             ~ MasterCard               ~Visa    

Credit Card Number:  _______- _______- _______- _______ Exp date:______/______

Authorized Signature   …………………….……………………………….

Return to: IASCP,  P.O. Box 2355, Gary, IN 46409,USA, Fax: 219-980-2801

You may register by phone by calling 219-980-1433.  Registration questions should be directed to:  iascp@indiana.edu.

Cancellation policy:  To receive a 75% refund, you must cancel your registration by July 31, 2003.

 Accommodations should be made directly with the Holiday Inn (1-800-HOLIDAY or 907-279-8671) in Anchorage, Alaska.  Please remember to mention code SCP when making your reservations.