REGISTRATION FORM
PACROFI VII
Pan American Current Research on Fluid Inclusions
June 1-4, 1998 University of Nevada-Las Vegas, Las Vegas, Nevada

You may register by phone or fax using Visa, MasterCard, American Express 
	or Discover Card.  
To register by phone, call (702) 895-3394.  Have your credit card number and 
	expiration date available. 
To register by fax complete the following including your credit card information, 
	fax (702) 895-4195.   
To register by mail, complete the following and enclose your check payable 
	to "Board of Regents."

NAME:____________________________________________________________________

MAILING ADDRESS: _______________________________________________________

__________________________________________________________________________	

CITY/STATE/PROVINCE:____________________________________________________	

ZIP/POSTAL CODE:________________________ COUNTRY: _____________________ 

E-MAIL: _________________________________________________________________	

DAY PHONE: (        )__________________ FAX: (        ) ________________


Registration Conference Fees (All fees in U. S. Dollars):

_____: $250  Professional registration

_____: $175  Student registration, please include copy of student identification

_____: $65  Guest: Red Rock welcome party and Lake Mead cruise and dinner 

_____: $45  Castle Mountains Gold Deposit trip, Monday, June 1, includes 
		transportation and lunch

_____: $200  Four day Carlin Trend field trip, June 5-8, includes transportation,
		lunches, double occupancy lodging

$_________: Total Amount due

Fax: (702) 895-4195
E-Mail: baker@ccmail.nevada.edu
Please charge my credit card:

Card Type:___________________Cardholder Name:_____________________________
(Visa, MasterCard, American Express, Discover)			(Please Print)

Card Number #_______________________________________ Exp. Date:___________

Cardholder Signature:______________________________________________________

Mail to: UNLV Continuing Education / PACROFI VII, 4505 Maryland Parkway
Box 451019, Las Vegas, NV 89154-1019, USA.

Unlv is an aa/eeo institution

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