NM Water Research Symposium

2010 New Mexico Water Research Symposium

Symposium Registration Form

To register for the 2010 New Mexico Water Research Symposium, a one-day technical symposium to be held on August 3, 2010 in Socorro, NM, complete the following form.

After completing the form, click the Register button at the bottom of the form to submit your registration.

Please register online even if you plan to mail your payment or pay at the door.

                                                                First Name:
                                                             Middle Initial:
                                                                Last Name:
Name as you want it to appear on your badge:
                                                    Affiliation/Agency:
                                           Department/Mail Code:
                                                                    Address:
                                                                             City:
                                                                          State:
                                                                              Zip:
                                                         Email address:
                                                                Telephone: –  –
                                                                             Fax: –  –

Registration Type: Registration fee is $20/person. This includes reception, lunch, breaks, and notebook.
-- Presenter (paper or poster)
-- Student (full-time)
-- Attendee

Please indicate below your payment method:
-- Cash at the door
-- Check (Make checks payable to NMWRRI-Water Symposium)
-- NMSU index number
-- Purchase Order Number
-- Credit Card. We are ONLY able to accept VISA, Master Card , or Discover Card. This is NOT a secure server and you must either mail this form (including your card number and expiration date OR call our office at 575-646-4337 with your credit card information).
-- Student Presenter -- Check if you are a student who has an accepted presentation and/or poster abstract. Your registration fee will be waived.

Our Address :

New Mexico Water Resources Research Institute
MSC 3167 Technical Symposium
PO Box 30001
New Mexico State University
Las Cruces, NM 88003-8001

If you have any questions about registration, please contact Peggy Risner at 575-646-4337.