Martian Meteorites

Workshop on the Issue

MARTIAN METEORITES: WHERE DO WE STAND, AND WHERE ARE WE GOING?

November 2-4, 1998

PREREGISTRATION FORM

Please return this form to LPI no later than October 2, 1998.
Please submit a separate registration form for each individual who wishes to attend.

NAME:  ________________________________________________________________________

AFFILIATION:  _________________________________________________________________

ADDRESS: _____________________________________________________________________

_______________________________________________________________________________

PHONE:  _________________  FAX:  _________________  E-MAIL:  ______________________

Payment must accompany form. Foreign participants may return this form and pay in cash at the meeting. Cancellations with requests for refunds will not be accepted after October 23, 1998.

____ @ $60 Professional Registration through October 2, 1998$_________
____ @ $80Professional Registration starting October 3, 1998$_________
____@ $40Student Registration through October 2, 1998$_________
____ @ $60Student Registration starting October 3, 1998$_________
Total Enclosed$_________

Please Indicate Method of Payment

OCheck or money order payable to the Lunar and Planetary Institute
(checks must be in U.S. dollars drawn on a U.S. bank). 		OAmExO VISA O MasterCard

Card Number  _______________________________________  Expiration Date  ____________________

Name as It Appears on Card (PLEASE PRINT)  ______________________________________________

Signature  ____________________________  Authorization Code (LPI USE ONLY)  ________________

RETURN THIS FORM BY October 2, 1998, to Workshop on Martian Meteorites, Lunar and Planetary Institute, Publications and Program Services Department, 3600 Bay Area Boulevard, Houston TX 77058-1113. For registration information contact the LPI Publications and Program Services Department (phone:  281-486-2142; fax:   281-486-2125; e-mail:   tanner@lpi.usra.edu).

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