SWICA-M³

Saltwater Intrusion and Coastal Aquifers—Monitoring, Modeling, and Management

Registration Form

Name: Title (Dr., Prof., Mr., Ms.) ______

Surname Name: _______________________ Given Name: _________________________

Affiliation: _______________________________________________________

_______________________________________________________

Full Address:

______________________________________________________________________

Tel: ___________________ Fax: _________________ Email: _____________________

Conference Fee:

Pre-Registration* (before January 31, 2001): US$350 _____________

IAHR, IAHS, IAEA member US$320 _____________

Regular Registration* (after January 31, 2001): US$390 _____________

IAHR, IAHS, IAEA member US$350 _____________

Student Registration†: US$150 _____________

Extra Banquet Ticket: US$35 _____________

Extra Excursion Ticket: US$35 _____________

Total: _____________________

Conference fee has been wired ____ Conference fee has been mailed _____

Will pay registration fee on site _____

* Include refreshments, lunches, reception, conference banquet, excursion, and CDROM proceedings

† All of above, excluding conference banquet.

Payment:

Method 1: Wire Transfer to Morocco

Wafa Bank, 83, Avenue Fal Ould Oumeir, Rabat Agdal, Maroc

Account Number: 019 810 000 252 030 10319 63 02

Account Holder: Association des Oeuvres Sociales Fonctionnaires Ecole Mohammadia d’Ingénieurs

Mention: SWICA conference-workshops

Method 2: Check in US Currency

Check withdrawn from US bank payable to “SWICA-Saltwater Intrusion Conference”. Mail check with registration form to: Alexander Cheng, Department of Civil & Environmental Engineering, University of Delaware, Newark, Delaware 19716, USA.

For Inquiries:

Prof. Driss Ouazar

Mohammadia School of Engineers

University of Mohammed V

B.P. 765 Agdal Rabat, Morocco

Tel: 212-37-670579 Fax: 212-37-778853 Email: ouazar@emi.ac.ma

Registration Form

Submit Form by Mail, Fax, or Email to Prof. Ouazar