Harvard University
Department of Earth and Planetary Sciences
Structural Geology and Tectonics Group

Sign-Up Form: Southern Canadian Rocky Mountains Field Trip
(Next Trip: July 23-29, 2006)

1. Personal Information:

Please fill out all applicable fields -- particularly check that your email address is correct.
You will receive an automatic acknowledgement of this form submission by email to that address.

Name
Email address:
Repeat Email address:
Affiliation:
Street address 1:
Street address 2:
Street address 3:
City:
State:
Country:
Zip Code:
Phone number:
Fax number:

2. Information:

The field trip tuition fee is $2200.00 USD/person, which includes 6 nights lodging, meals (except two dinners in Banff), shuttle to and from Calgary airport, local transportation, guidebook and supplies, gondola and boat passes, and park fees. All participants are responsible for making their own travel arrangements to Calgary. The tuition fee payment is due thirty days before the start of the course. You will be sent an invoice for these fees.

Please email us if you have any questions.

3. Please Indicate Your Interest:

  July 23-29, 2006       Specially arranged Trip (15 person mininum)

Single or Group?
  single       group

If a group, how many people?