IMPORTANT NOTE: Registrations received after September 26 are not guaranteed
places on the trips of the registrant's choice, guidebooks, or a place at the
banquet table.  Trips that are overcrowded may be closed, and trips that are
severely under-subscribed may be cancelled, at the discretion of the leader.
If so, all that have pre-registered will be notified.  However, those who
arrive unannounced my be in a lurch.

NEIGC 1999/BURLINGTON  October 1-3, 1999
REGISTRATION FORM
Please Copy and Distribute


NAME    ______________________________________________

ADDRESS _______________________________________________

        _______________________________________________

        _______________________________________________

        _______________________________________________
        
E-MAIL  _______________________________________________


FIELD TRIP CHOICE          1ST         2ND         3RD

FRIDAY, OCT. 1             ____        ____        ____

SATURDAY, OCT. 2           ____        ____        ____

SUNDAY, OCT. 3             ____        ____        ____



1. NEIGC FEES                Preregistration        On-Site
                             (received by 9/26)

REGISTRATION FEE                   $ 10               $ 15
GUIDEBOOK           ____ copies  @ $ 18* (each)       $ 18* (if available)
  *Mailing (if requested)          $  3 per copy      $  3 per copy
BANQUET (Saturday)  ____ tickets @ $ 20 (each)        $ 20

Circle Choice:  (1) Chicken Marsala     
                (2) Roasted Vegetables Primavera
                (3) Top Sirloin Forestier

TOTAL NEIGC Fees:                  _____              _____

2. Pre-Conference SYMPOSIUM ON SURFICIAL GEOLOGIC MAPPING 
   (SEE  NEIGC WEBSITE)   Thursday, September 30th, Ramada Inn, Burlington

                        Pre-registration        On-site
                        (received by 9/26)
        Professionals         $10                 $15
        Students              $ 5                 $ 5

TOTAL Symposium Fees:       ______              ______

Make Check for sum of NEIGC and Symposium Fees Payable to UVM-NEIGC99

Mail to:  Jack Drake                 For further information about the 
        Department of Geology        conference, (1) consult the NEIGC 
        University of Vermont        Website: http://neigc.org/NEIGC/1999/
        Burlington, VT 05405         or (2) contact Barry Doolan at UVM
                                     802 656-0248; 802 656-0045 (FAX)
                                     bdoolan@zoo.uvm.edu
                                                    
____    Check here if you are unable to attend NEIGC '99 but wish to
remain on the  mailing list for another year.