Introduction to GIS and GPS REGISTRATION FORM STUDENT INFO (Please, one person per registration form.) First Name Last Name Organization Name Organization Mailing Address City Country Zip Code Telephone Fax E-mail BILLING INFORMATION (If different than above) Organization Contact person Organization Mailing Address City State Zip Code Organization Telephone Fax E-mail PRICES*: UVI Students $400.00 UVI Staff $600.00 All others $750.00 Three or more fro the same organization $700.00 *All prices include a $100.00 nonrefundable fee. Amount: (Make check payable to the University of the Virgin Islands) Registrations are accepted on a first-come, first-served basis, so fax your registration early to: (340) 693-1025 or mail to: Eastern Caribbean Center, UVI #2 John Brewer’s Bay St. Thomas, VI 00802 I understand and agree to the terms and conditions of this application (required): Signature: