Space is limited.  Please complete the registration form below no later than January 12, 2009. 

Non-U.S. citizens wishing to participate in the field trip must complete and submit a clearance form 30 days in advance.  Click Here to download clearance form.  

Send the completed UFV&A Short Format clearance form by using one of the following methods:
Spacer
Fax: (202) 586-0835
Attention:
Diana Greenhalgh
Mail: Diana Greenhalgh
U.S. Department of Energy
1000 Independence Avenue
Room 3G-
052
Mail Stop FE-4
6
Washington D.C. 20585

Diana Greenhalgh can be contacted at (202) 586-5563

If you require invitation letter in order to obtain a visa for your attendance at the symposium, please contact us at petrostocks@hq.doe.gov.  Please indicate whether you prefer that the invitation be faxed, sent by mail or emailed.  Please note that this letter does not guarantee that you will be granted a visa and that it is the responsibility of the attendee to obtain the necessary paperwork for entry to the U.S.

Registration Form

*Salutation: (Mr. or Ms)
*First name:
M.I.
*Last name:
*Position Title: 
*Company/Organization: 
*Address
 
*City: 
State/Province (*US,Can,Australia)
*Postal code: 
*Country/Region:
*Do you require an invitation letter to obtain a visa?
Yes No
*E-mail address (e.g  name@company.com): 
*Daytime phone number
(Please include the country code)
: 
Do you plan to participate in the February 11th Houston Ship Channel tour??
Yes  No

 

Please indicate special needs
Will a guest accompany you?
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