Welcome to the Stray Gas Workshop Registration

Workshop Registration Fee: $150.00*

*There is no reduction in the registration fee for attending only one or two days of the workshop.

Registration Deadline: September 30, 2009

Cancellation Deadline: September 30, 2009

To pay by check or credit card, please complete the online form below and click the continue button. If paying by credit card follow the instructions on the confirmation page to complete your creditcard billing information. To pay by check, print out your confirmation page then mail your completed registration information and a check for the full registration fee to:

Pittsburgh Geological Society
P.O. Box 58172
Pittsburgh, PA. 15209

Please write "Stray Gas Workshop" on the memo line.

Payment must be received no later than September 30, 2009, while space is available. After your check has been received by PGS, PGS will send you a registration confirmation email and deposit your check.

The registration form for paying by check is also available in pdf format or in doc format, which can be printed out, completed by hand, then mailed to the PGS. If you have trouble downloading these forms, feel free to email us at pittgeosociety@pittgeosociety.dot5hosting.com or call us for assistance at tel: 412-920-7009.

If you would like to pay by credit card or check, please complete the following form then press the Continue button:

(* - Required Field)

First Name*:

Middle:

Last Name*:

Name and Company Information for the Badge*:

Job Title:

Organization*:

Office Address 1*:

Office Address 2:

City*:

Zip Code*:    

Office Phone*: (ex. 123-456-7890)    Ext:

Cell Phone:

Email Address*: