KWI Epikarst Conference Registration Form

The following form is used to submit Epikarst Conference Registration information to the KWI. Please note that your registration is not complete until payment for the conference is received. Payment may be made either by credit card or by check. For payment information, see Conference Registration. Please click on the SUBMIT button below after completing the form. Thanks.

Name:


Address:






Telephone:


email Address:


If you plan to present a poster at the poster session,
please enter the poster title.
Poster Title:


If you plan to present at the "Snapshot of Epikarst"
session, please enter the geographical information.
Snapshot Geoinfo:


If you are interested in being picked up at Dulles
International Airport, please indicate YES.
Dulles Pickup?


Conference Fee: $280 US.
Student Fee: $180 US. Proof of student status required.
Registration not complete until payment is received by the KWI.
Payment amount:


Additional Comments:


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