International GeoBiology Course
Registration for Agouron alumni field trips and accomodations at Davos, 2009
June 20 (arrival) to June 28 (departure)
Please fill in the required information online, then
save this document
as a pdf and send it as e-mail attachment to
Kurt Hanselmann
Last Name
First Name
Affiliation / University
Department
e-Mail
Postal address
Street, Nr.
P.O. Box
City
State / County
ZIP Code
Country
Country
----------
Argentina
Australia
Austria
Belgium
Brazil
Cameroon
Canada
Chile
China
Croatia
Czech Republic
Denmark
France
Germany
Indonesia
Ireland
Israel
Italy
Netherlands
Norway
Peru
Portugal
Puerto Rico
Russia
South Africa
Spain
Sweden
Switzerland
Thailand
Turkey
United Kingdom
United States
Uruguay
----------
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo (Dem. Rep.)
Cook Islands
Costa Rica
Cote d Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hongkong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (North)
Korea (South)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mariana Islands
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa (Western)
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia/Montenegro (Yugoslavia)
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Surinam
Swaziland
Sweden
Switzerland
Syria
Tadjikistan
Taiwan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
In which year did you participate in the GeoBiology course?
Course year
2002
2003
2004
2005
2006
2008
several
not applicable
In which capacity did you participate in the course?
Capacity
Student
TA
Instructor
Lecturer
Organizer
Guest
several
not geobio alumni
What are you signing up for?
(Please sign up with Goldschmidt directly, if you intend to participate at one or both field trips only)
select
GeoBio conference arrangement incl. two field trips
GeoBio arrangement + pre-conference field trip only
GeoBio arrangement + post-conference field trip only
Accomodation + breakfast + diner, no field trips
Accomodation + breakfast, no diner, no field trips
dates: arrival
departure
What is your prefered room category?
Details see field trip arrangement for GeoBio alumni
(pdf)
Category
1
2
3
Did you already make arrangements with a room mate?
If so, please list person(s) name(s) here
Do you have your own cancellation insurance?
select
YES
NO
If not: Would you like us to arrange for an cancellation insurance?
select
YES
NO
Do you have a Youth Hostel Membership Card?
select
YES
NO
Does your accident and health insurance cover international travel?
select
YES
NO
Do you have special dietary requirements? If so, please list them here.
select
YES
NO
How would you like to be billed?
Currency
Swiss Francs
Euros
Remarks
Please
save the completed document
as a pdf and
send it as e-mail attachment to
Kurt Hanselmann i-research.training@hispeed.ch