**Short Course Registration Form**

Geochemical Society and Mineralogical Society of America Short Course

**Molecular Modeling Theory and Applications in the Geosciences**

**Roanoke, Virginia, U.S.A---May 19-20, 2001**

Complete and return this registration form to the Geochemical Society
Business Office via e-mail, fax, regular mail, or by telephone. An
electronic version of the form can be obtained through links on the
short course web page (<http://www.sandia.gov/eesector/GScourse.htm>).
Registration is limited to 120 people. Payment must accompany this form,
which will be fully refunded if cancellation is received in writing by
May 1, 2001.

Short Course Registration

Geochemical Society

Washington University

Department of Earth and Planetary Sciences

One Brookings Drive, CB 1169

St. Louis, MO 63130-4899

Voice: 314-935-4131 (M-F, 9:00 AM to 4:00 PM, U.S. Central Time)

Fax: 314-935-4121

E-mail: <gsoffice@gs.wustl.edu>

**Name**

(First) (Middle) (Last)

**Address**

(City) (State/Province/Region) (Zip/Postal Code) (Country)

**Telephone** (Voice) (Fax)

**E-mail**

**Registration**

Mark the appropriate registration category \[X\] and write the
appropriate fee on the cost line.

\[ \] Professional registration *by April 2, 2001* *after April 2, 2001*

\$150 \$200 \$

\[ \] Student registration *by April 2, 2001* *after April 2, 2001*

\$100 \$150 \$

**Amount Due** \$

**Amount Enclosed** (Indicate payment method and amount of payment
enclosed)

\[ \] Enclosed is a check (in U.S. \$ drawn on a U.S. bank) or money
order in the amount of \$

\[ \] Charge my \[ \] Visa \[ \] Mastercard \[ \] American Express \[ \]
Diner's Club card

Your credit card will be charged when the registration form is received
in the amount of \$

(Card number) (Name on card --- please print)

(Signature) (Expiration date)

**Short Course Information**

Geochemical Society and Mineralogical Society of America Short Course

**Molecular Modeling Theory and Applications in the Geosciences**

**Roanoke, Virginia, U.S.A---May 19-20, 2001**

Registration fee includes GS-MSA short course session costs, welcoming
reception, breakfasts, lunches, break refreshments, and *Reviews in
Mineralogy and Geochemistry* volume. All short course sessions will be
at the Hotel Roanoke and Conference Center. There will be an informal
welcoming reception at 7:00 PM Friday evening May 18, 2001 at the same
location. Complimentary bus service to the Hotel Roanoke is available
from the Roanoke airport. Registration fee does NOT include room costs,
other meals, or transportation costs to or from the main Goldschmidt
Conference at The Homestead. Short course attendees planning on
attending the Goldschmidt Conference and needing bus transportation
should make bus reservations using the conference web page
(<http://www.lpi.usra.edu/meetings/gold2001/>). These buses will be
picking up short course attendees at the Hotel Roanoke after lunch on
Sunday May 20. A block of discounted rooms at the Hotel Roanoke are
available for both Friday and Saturday nights. Rates are \$92.00 plus
taxes per night (single occupancy), \$102.00 plus taxes per night
(double occupancy), plus \$10.00 per night (plus taxes) for each
additional person. Attendees must make their own room reservations by
calling the hotel at 540-985-5900 and asking for the Molecular Modeling
Short Course room block, or by making a reservation via the hotel web
site (<http://www.hotelroanoke.com/>). Reservations must be made by
Friday April 20, 2001 in order to guarantee the discounted room rates.

You can contact the co-organizer Randall Cygan (<rtcygan@sandia.gov>,
505-844-7216) or the Geochemical Society business manager Seth Davis
(<gsoffice@gs.wustl.edu>, 314-935-4131) if you have any questions
concerning registration or the short course.