Registration Form

MI Geotour Mt Isa Inlier 21-27 August 2003

Geoff Derrick of G.M.Derrick and Associates invites from 4 to 7 people to join him in a geological venture around parts of the Mt Isa Inlier, NW Queensland, mixing mine visits with some of Australia’s finest geology.

COSTINGS

With 4 persons on MI Geotour	$2400 per person
With 7 persons on MI Geotour	$2000 per person

Yes, I/we would like to register for the MI Geotour, 2003 :

please type or write in the details and return by email, fax or post (see below) by 13 August 2003

Name (Coy. or individual):

Address:

Line 2:

Line 3:

Total number of persons attending:

Contact details:

Phone:

Fax:

Email:

Payment can be made upon receipt of invoice from G.M.Derrick and Associates.

CONDITIONS:

1. MI Geotour can only proceed with a minimum of 4 registrants, and will otherwise be CANCELLED by 13 August.

2. MI Geotour is currently capped at 7 persons because of air charter capacity; if registrations should (amazingly) exceed 7, it remains a possibility that tour capacity can be raised to 11 persons.

3. In the event of 8,9, or 10 registrants, G.M.Derrick and Associates reserves the right to ballot numbers back to 7, taking into account date of registration and country of origin – overseas applicants may be favoured by matters of their travel timing and geography.

4. Additional numbers 8, 9 and 10 however can be considered for all of the Geotour EXCEPT the air charter visit to Century (at a reduced Geotour cost of course).

5. Despite items 1 to 4 above, Geoff Derrick hates to disappoint, and will endeavour to satisfy everyone up to the decision point of 13 August.