IMAGE '23

Contact Information

*Priority Code:
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Demographic Information

*Member of the following? (Check all that apply)
American Association of Petroleum Geologists (AAPG) Society of Exploration Geophysicists (SEG)
Society for Sedimentary Geology (SEPM) None of the above
*Which best describes your profession:
*Job Title:
*Industry Sector: Which sectors do you most closely associate with? (Check all that apply)
Oil & gas
CCUS
Geothermal
Hydrogen
Other renewables
Technology/digital
Earth sciences general (e.g., geology, geophysics, etc.)
Academia
Government
Non-profit
Mining/Mineral Exploration
Environmental Geophysics
Engineering Geophysics
*Age
*Race/Ethnicity:(Check all that apply)
Asian or Asian American
Black, African, African-American or Afro-Caribbean
Hispanic, Latinx, Latino, Latina, or Spanish Origin
Indigenous Peoples
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
Native of Indian Subcontinent
White, Euro-American, or European
Not listed
Prefer not to answer
*Gender:
What (if any) are your special needs? (Check all that apply)
Wheelchair Rental
Vegetarian/Vegan
Wheelchair Accessible
Gluten Free
Other Dietary
Please specify
*Do you wish to receive further communication from IMAGE regarding specific event information or future event information

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