Clemson University

Sponsors Registration Form

The 13 Annual David S. Snipes/Clemson Hydrogeology Symposium

April 13-15, 2005

Name:  _______________________________________

E-mail: _______________________________________ (must have!)

Organization:__________________________________

Address:     ___________________________________

                  ___________________________________

____ Premium Sponsor $250

Includes registration to both Symposium and Field Trip
or two passes to Symposium. (circle desired option and supply additional name if needed)
___________________________________


____ Standard Sponsor $175

Includes registration to Symposium or Field trip (circle desired option)

Make check to: Clemson University

Mail to: Scott Brame
340 Brackett
Geological Sciences
Clemson, SC 29634-0919

Note: No refunds will be given after April 5