Registration Form
Name: (Circle:        Prof.             Dr.               Mr.           Ms.)
Address:
 
 
 
 
 
 

 
Registration Fee: $50 (US)

Method of Payment (circle: check credit card)
Checks: Please make checks payable to: "Geophysics in Rock Engineering
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The Registration Form should be sent to the address below by FAX or mail, or, you can send an e-mail containing the information listed above. Return Form to:

Prof. Laura J. Pyrak-Nolte,
Chair of 2nd International Workshop Geophysics in Rock Engineering, 
Purdue University,  Department of Physics, 1396 Physics Building, 
West Lafayette, Indiana 47907-1396 USA

Fax: 765 - 494 - 0706   Telephone: 765 - 494 - 3027      e-mail: ljpn@physics.purdue.edu