ACE 2018 Salt Lake City

Contact Information

* Priority Code
* FirstName
* LastName
* Title
* Company
Telephone
Fax
* Email
CCEmailAddress
Street1
Street2
* City
ZipCode
* State
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* Name of Host Organization
* Country of Residence
* Country of Citizenship

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Demographic Information

*Society Memberships (Check all that apply):
American Association of Petroleum Geologists (AAPG) American Association of Stratigraphic Palynologists (AASP)
Association for Women Geoscientists (AWG) Circum-Pacific Council for Energy & Minerals Resources, Inc. (CPC)
The Geological Society of London (GSL) Geological Society of America (GSA)
Houston Geological Society (HGS) International Association for Mathematical Geosciences (IAMG)
National Association of Black Geoscientists (NABG) Society of Exploration Geophysicists (SEG)
Society for Sedimentary Geology (SEPM) Society of Independent Professional Earth Scientists (SIPES)
Society of Petroleum Engineers (SPE) Society of Petrophysicists & Well Log Analysts (SPWLA)
The Society for Organic Petrology (TSOP) None of the above
I am a (Check all that apply):
Field Trip Leader
Poster Presenter
Session Chair
Short Course Instructor
Speaker
*Which best describes your position?
CEO/President
Vice President
Independent Consultant
Independent Owner/Operator
Manager
Professor
Retired
Staff Employee
Student
Other
Please Specify:
*Which best describes your occupation?
Academic Engineer
Geologist Geophysicist
Landman Other
Please Specify:
*Gender:
Female
Male
*Age:
24 and under 25-29
30-39 40-49
50-59 60-69
70+
Special Needs?
Wheelchair Accessible
Wheelchair Rental
Vegetarian
Other Dietary
Please Specify:

 

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