NEIGC 1996 REGISTRATION FORM
Please Copy and Distribute


NAME    ______________________________________________

ADDRESS _______________________________________________

        _______________________________________________

        _______________________________________________

        _______________________________________________



FIELD TRIP CHOICE   1ST         2ND         3RD

FRIDAY              ____        ____        ____

SATURDAY            ____        ____        ____

SUNDAY              ____        ____        ____



FEES                Preregistration         On-Site

REGISTRATION FEE    $10.00                  $15.00
GUIDEBOOK           $18.00                  $18.00 (if available)
BANQUET             $12.00                  $12.00

TOTAL:              _____                   _____


Make check payable to: NHGS - NEIGC '96

Mail to:    NEIGC '96 c/o Mark Van Baalen
            EPS Dept., Harvard University
            20 Oxford St.
            Cambridge, MA 02138

For further information about the conference, contact Mark Van Baalen:
mvb@harvard.edu or 617-495-3237 or 617-495-8839 (fax)



____    Check here if you are unable to attend NEIGC '96 but wish to
remain on the   mailing list for another year.  Those who do not
attend the conference, or return this form, risk subduction.