We're looking forward to meeting you when you enroll in a class. Just complete the simple form below and submit. You will receive an invoice by return email confirming your class selection and requesting payment through PayPal. Payment must be made to confirm registration for a class. Please allow 3 days for processing of this form.

First Name* Last Name*

Company Name

Mailing Address*

City* State* Zip Code*

Email Address*

Telephone*

*Required. Complete all the fields.

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I want to enroll in the following classes: (additional dates are currently being scheduled - every other month, one of these two classes will be offered)

Earth Materials, April 21, 2010 (8 PDH for $195.00, includes manual and lunch)

Geologic Hazards, May 25, 2010 (8 PDH for $195.00, includes manual and lunch)

I'd like more information or to be notified of the dates for:

Sedimentology/Stratigraphy for Hydrologists

Clays: What are they? Are they different?

Continuing Education Cruise

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Some participants may have additional needs. Please indicate if there are any special considerations we need to know about. (example: dietary restrictions, nurses aide or canine companion attendance)

Upon receipt of your class request, you will receive an invoice for payment. You are not registered until payment for classes is received. Upon registration, you will receive additional class details and directions to 5 Rivers.

You can also print out this page, complete it and mail it to: P.O. Box 850631, Mobile, AL 36685-0631

Please allow at least 7-10 days for mailing.