Second Appalachian Karst Symposi

General Shale Brick Natural History Museum and Visitor Center at the Gray Fossil Site

The East Tennessee State university and General Shale Brick Natural History Museum and Visitor Center at the Gray Fossil Site
is located off Interstate 26, between Johnson City and Kingsport and is served by the Tri-Cities Regional Airport. (Map) (http://www.etsu.edu/facts/region.asp)

Registration Information

This form may be submitted online, called in, mailed or faxed.
If submission is online, please be aware that this is not a secure site.

Early Registration: $110 (until April 6th, 2008) Late Registration: $135 (on or after April 7th, 2008) Students with College ID - Early Registration: $45 (until April 6th, 2008) Students with College ID - Late Registration: $65 (on or after April 7th, 2008) (Conference fees include reception, all technical sessions, keynote sessions, lunches and banquet.) Registration for May 8th Only: $50.00 Registration for May 9th Only: $50.00 Registration for Banquet on May 8th: $40.00 (Single day symposium attendees who wish to attend the banquet must also register/pay for the banquet. Individuals who pay the full conference fee $110/135 do not need to register/pay for the banquet.) Fax: 423-439-8267 Phone: 423-439-8084 or 1-800-222-3878 Mailing Address: East Tennessee State University Office of Professional Development, Box 70559 Johnson City, TN 37614
First Name
Last Name
Professional Affiliation
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Mailing Address

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State
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Work Phone
Home Phone / Fax
Email


I plan to attend the field trip on Saturday (if yes, the additional charge is $25)	check if Yes (enrollment is limited)

Lodging Options	I will stay at Jameson Inn
	Register individually at the Jameson Inn 423-282-0488 Ask for group rate of $75 with continental breakfast for Karst Symposium
	I will stay at Comfort Suites
	Register individually at Comfort Suites 423-610-0010 Ask for group rate of $75 with continental breakfast for Karst Symposium
	I will stay at the Carnegie Hotel
	Register individually at Carnegie Hotel 423-979-6400 Ask for group rate of $99 for Karst Symposium
Payment Options	Credit Card (M/C, VISA, Discover)
	Mail check
	Invoice organization

Card Type
Card Number / PO
Expiration Date
Name on Card
Department Name

Registration Information

This form may be submitted online, called in, mailed or faxed. If submission is online, please be aware that this is not a secure site.

This form may be submitted online, called in, mailed or faxed.
If submission is online, please be aware that this is not a secure site.