Registration Form

Seminar on Safety Evaluation of Existing Dams
May 12-16, 2008

Please complete and submit this form by April 25, 2008

Name:  _________________________________________________________________________

Position or Title:  ____________________________________________________________

Organization:  _________________________________________________________________

Telephone:  ____________________________________________________________________

Mailing Address:  ______________________________________________________________

City, State, Zip Code:  ________________________________________________________

email address (optional):  _____________________________________________________



Check one of the following:

________  I am enclosing training form SF-182 for billing my agency
          (Federal government employees only)

________  I will pay with Visa or Mastercard


________  I am enclosing my advance registration fee of $800.00


________  I will pay the $800.00 registration fee upon arrival


(Checks should be made payable to the Bureau of Reclamation.)



Please indicate which one of the concurrent workshops you will attend:


________  Engineering Geology and Dam Safety

________  Evaluation of Seepage, Uplift, and Piping Concerns

________  Emergency Management

Mail the completed form to:					Or fax to:
          Bureau of Reclamation				Lena Bickford
          P.O. Box 25007						303-445-6381
          Mail Code 86-68360
          Denver, CO  80225