Name__________________________________

Address_________________________________

________________________________________

Phone ________________________     Fax____________________________

E-mail _______________________________

School or Affiliation_______________________________

Select at least three of the following projects and rank them from 1 to 3 or more (1 highest).

____1. Create science walk
____2. Learn mapping techniques
____3. Establish personal plot
____4. Map using topo map or air photos
____5. Measure a geologic section
____6. Create a photo mosaic
____7. Phase One environmental survey
____8. Bathymetric map
____9. Topographic cross-section
____10. Use GIS mapping software

____I wish to receive in-service credit

Registration fee of $15.00 includes coffee, lunch and materials.

Registration is required by Wednesday June 10, 1998.

Mail this form along with a check for $15.00 payable to Long Island Geologists to:

Earth Science Research Project
Department of Geosciences
SUNY
Stony Brook, NY 11794-2100