Please indicate your interest in attending the conference by completing the form below. The workshop registration fee of $320 AUD (~$250 USD) will cover break refreshments, ferry transfers to and from the Island and the excursion to the Australian Institute of Marine Science.

NOTE: Please complete and Fax this form to Frances Sampedro at 305-361-4701. We are in the process of securing a connection for you to Submit this form electronically. As soon as this feature becomes operational, we will make an announcement to that effect. Please check back for the updated secure form if it is your preferred method.

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Title
First Name and Initials
Surname
Institution:  
(Full address)
Telephone
Facsimile
Email
I plan to attend the Workshop
Yes No
Type of card
(VISA or Mastercard):
  VISA  MasterCard
Name on Card:
Credit Card number:
Expiration date:
Please Fax this form to Frances Sampedro at 305-361-4701
For information, contact: 
Frances Sampedro
University of Miami
Rosenstiel School of Marine and Atmospheric Science
Division of Applied Marine Physics
4600 Rickenbacker Causeway
Miami, Florida  33149  USA
Additional Contact Info:
Tel: +1 305-361-4772
Fax: +1 305-361-4701
Email: fsampedro@rsmas.miami.edu