seg/eage distinguished instructor short course

SEG/EAGE DISTINGUISHED INSTRUCTOR SHORT COURSE
Reservoir Geophysics: Applications
By William L. Abriel, Chevron
Flórida Hotel, Rio de Janeiro – June 19, 2008
Flórida Hotel
Hotel address: Rua Ferreira Viana, 81
Flamengo - Rio de Janeiro - RJ
Presentation: 8:00 a.m. – 5:00 p.m.
Registration opens at 7:45 a.m.
Registration is limited to 100
Important: Please complete a separate form for each registrant
Name
Company Name
Street Address
Country
City, State, Zip
Phone
Fax
Email
SEG Member?
rYes rNo SEG Member ID #: _ _ _ _ _ _
SBGf Member?
rYes
rNo
SEG and SBGf members: You only qualify for the discounted member registration fee if your membership dues for 2008 is paid.
SEG members: send a copy of your membership card.
Cost: (Check ONE)
r Member of SEG and SBGf .....................................................................................................................................R$ 125,00
r Student member of SEG or SBGf (member number or completed application required) ............................................ Free
r Member of SEG only ..........................................................................................................................................................
R$ 210,00
r Member of SBGf only (Please complete SEG application).................................................................................................. R$ 195,00
r Neither member of SEG or SBGf. Please complete SEG and SBGf application ........................................................ R$ 280,00
▪ If you wish to join either the SBGf or SEG and would like to apply this registration fee to your membership dues, please submit the appropriate membership application
form(s) with this registration form. SEG student membership dues provided for by CGG Veritas and Paradigm. SEG member dues for US residents are $75.
I hereby authorize the payment of R$ _________ as detailed below to be charged to the following credit card: Master Card r Visa r
Credit Card Nº:
Card security code:
Credit Card Expiration Date:
You may fill in your Card Security Code, which is the last block of three digits that can be found at the back of
your credit card after the credit card number
Name on Credit Card (print):
Date:
Your signature:
Return this form to:
Sociedade Brasileira de Geofísica
Brazilian Geophysical Society – SBGf
Avenida Rio Branco, # 156 room 2509
Rio de Janeiro – RJ
Zip Code: 20043-900 - Brazil
Telephone/Fax: + 55 21 2533-0064
E-mail: [email protected]
REGISTRATION INFORMATION
To pre-register, the completed registration form must be received at the address noted no later than
June 9.. On-site registration is available.
The registration fee includes course materials and break refreshments. Participants are responsible for
their own hotel and travel arrangements. Payment of the tuition for the program is to be made in
advance. Registration is on a first-come, first-served basis. This course has a maximum class size limit;
early registration is urged. If the course is fully subscribed at the time your registration is received, you
will be notified and placed on a waiting list as an alternate. On-site registration is discouraged due to class
size restrictions, but will be provided on a space-available basis.
The registration for student member of SEG or SBGf is limited to the first 20.
This program is made possible through generous support from the SEG Foundation.