NYSCPG BIANNUAL MEETING

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Please complete this form to RSVP for the event! We look forward to seeing you! Please help us spread the word.

Details:
April 29, 2019
11:00pm to 3:00pm (Student Presentation 3:30pm to 4:30pm)
SUNY Binghamton Department of Geological Sciences and Environmental Sciences, Science 1, Room 162

Lunch will be provided.

First Name

Last Name

Affiliation (Company or Academic Institution)

Email Address

Phone Number (Work/Business)

Phone Number (Cell)

Are you a member of the NYSCPG?

Yes

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If you are also a member of a state regional geology association/organization, please indicate the organization by name. If not, please write "NA."

Are you a New York State Professional Geologist?

Yes

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If you are a New York State Professional Geologist, what is your license number?

Are you an Intern Geologist?

Yes

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Are you a student at a New York State college/university?

Yes

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If so, which college or university?

Will you be attending the Student Presentation after the Biannual Meeting?

Yes

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