Name:	________________________________________	Phone: (_____)___________________
Affiliation:	________________________________________	E-Mail: _________________________
Address:	_________________________________________________________________________
City, State, Zip:	_________________________________________________________________________

Member of:

___ AAG

___ WGS

___ both

___ neither

(please check one)

Type of Participation (please check all that apply)

___	Paper Presenter.	Title:__________________________________________________________
___	Poster Presenter.	Title:__________________________________________________________

___	Special presentation equipment needs.	Type:____________________________________________
	(A slide projector and overhead will be available in each room. 4' x 8' poster boards and stick pins will be provided.)

___

Paper presenter for the student paper competition.

___

Undergraduate

___

Graduate

___	Willing to chair a session.	Topics:____________________________________________________
___	Attending the conference but not presenting a paper or poster or chairing a session.

Program Fees

Registration fee (Students: $20; Others: $40)	$_________
Friday night banquet ($20 per person)	$_________

	Indicate entree choice for yourself	___ Beef	___ Chicken	___ Vegetable
	(and guest if applicable)	___ Beef	___ Chicken	___ Vegetable

Field trip. Select one:

___ Urban Vision ($10)

___ Earthworks ($15)

$_________

Make check payable to: Geography Department

Total:

$_________

Mail this completed registration form and check to:

Department of Geography (1998 Conference) University of Wisconsin-Madison 384 Science Hall 550 N. Park Street Madison, WI 53706-1491