international association of hydrogeologists irish … · “integrated hydrogeology: contemporary...
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INTERNATIONAL ASSOCIATION OF HYDROGEOLOGISTS
IRISH GROUP “Integrated Hydrogeology: Contemporary Principles, Policy and Practice”
REGISTRATION FORM
Tullamore Court Hotel
Tullamore
Co. Offaly
Tuesday 21st –
Wednesday 22nd
April 2015
PAYMENT INSTRUCTIONS RATES
Early Bird Rates (Available until 3rd April 2015)
IAH Member €180
Non-member €200
Standard Rates
IAH Member €200
Non-member €220
Full-time student/unemployed (member) €60
Full-time student/unemployed (non-member)
€90
Deadline for registration: Friday 10th April 2015
The conference fee includes conference attendance, bound copy of proceedings, refreshments and lunch on both days, and a social evening event to include a light dinner.
(In order of preference)
Electronic Funds Transfer
Account Name: IAH Irish Group
Account Address: AIB, 52 Upper Baggot St., Dublin 4
Account No: 41308040
Sort Code: 93-10-63
IBAN: IE52AIBK 931063 41308040
Please include delegate name in narrative/description
Cheque
Payable to: IAH (Irish Group)
Post to: IAH Treasurer, Groundwater Section, Geological Survey of Ireland, Beggars Bush, Dublin 4
Payment Method
Electronic Fund Transfer:
Cheque:
DELEGATE DETAILS
Please complete and return this registration form by email to [email protected]
Organisation: Your reference:
To assist us with managing numbers please indicate intention to attend the following:
Tuesday Social Evening, Tullamore Dew Visitors Centre: Food Only
Food and Whiskey tasting tour
Unable to attend
Monday Technical Fieldtrip
Wednesday Technical Workshop