Western Michigan University - Department of Geosciences
20th Annual Hydrogeology Field Course
Registration Form for 2008

Please fill out form and print. Send hard copy to: Hydro Field Course, Department of Geosciences,Western Michigan University, Kalamazoo, MI 49008-5241

*Please print Clearly

University/Company : 
First Name : 
E-mail address : 
Last Name:  

Home Phone #: 

DOB :  (month/year)

State :  Zip : 

Address : 
Emergency Contact (Name):   
City : 
Emergency Contact Phone #:   
HFC 2008: July 07 - August 16. 
All weeks required for WMU Majors, Master's and Ph.D. candidates

Select the weeks you wish to sign up for:

WEEK 1 GEOS 5230 WEEK 2 GEOS 5250 WEEK 3 GEOS 5270

WEEK 4 GEOS 5280 WEEK 5 GEOS 5260 WEEK 6 GEOS 5240

Check the credit desired: Graduate  Undergraduate

 

I have enclosed the required, non-refundable reservation deposit of $100 for each week selected.

__________________________________________________________________(signature) 

Additional comments:

Home