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Three ways to register...SPE (Society of Petroleum Engineers), SPWLA (Society of Professional Well...

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1 Step One: CONTACT INFORMATION AAPG MEMBER NUMBER FIRST NAME* LAST NAME* COMPANY/UNIVERSITY* ADDRESS 1 ADDRESS 2 CITY* STATE* ZIP/POSTAL CODE COUNTRY* DAY TELEPHONE MOBILE/CELL TELEPHONE EMAIL COUNTRY OF RESIDENCE COUNTRY OF CITIZENSHIP *Information will appear on badge I certify that the above information is true and correct Three ways to register Online: ACE.AAPG.org Mail: AAPG Registration Center c/o The Pulse Network (TPN) 10 Oceana Way Norwood, MA 02062 United States Phone: +1 781-688-8000 (Monday–Friday; 8:00 a.m.–5:00 p.m. EST) Use one form for each registrant. All authors, speakers, chairs, co-chairs and session chairs must register and pay the appropriate fee. Cancellations received by 5 April 2018 will be refunded less a $75 processing fee. No refund will be issued after 5 April 2018. Note: No refunds for field trips and/or short courses will be issued after 19 April 2018. Registration Form ACE.AAPG.org ACE 101: Bridging Fundamentals and Innovation
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Page 1: Three ways to register...SPE (Society of Petroleum Engineers), SPWLA (Society of Professional Well Log Analysts), TSOP (The Society of Organic Petrology), and UGA (Utah Geological

1

Step One: CONTACT INFORMATION

AAPG MEMBER NUMBER

FIRST NAME* LAST NAME*

COMPANY/UNIVERSITY*

ADDRESS 1

ADDRESS 2

CITY* STATE* ZIP/POSTAL CODE

COUNTRY*

DAY TELEPHONE MOBILE/CELL TELEPHONE

EMAIL

COUNTRY OF RESIDENCE COUNTRY OF CITIZENSHIP*Information will appear on badge ❑ I certify that the above information is true and correct

Three ways to registerOnline: ACE.AAPG.orgMail: AAPG Registration Center

c/o The Pulse Network (TPN) 10 Oceana Way Norwood, MA 02062 United States

Phone: +1 781-688-8000 (Monday–Friday; 8:00 a.m.–5:00 p.m. EST)

Use one form for each registrant. All authors, speakers, chairs, co-chairs and session chairs must register and pay the appropriate fee. Cancellations received by 5 April 2018 will be refunded less a $75 processing fee. No refund will be issued after 5 April 2018. Note: No refunds for field trips and/or short courses will be issued after 19 April 2018.

Registration Form

ACE.AAPG.org

ACE 101: Bridging Fundamentals and Innovation

Page 2: Three ways to register...SPE (Society of Petroleum Engineers), SPWLA (Society of Professional Well Log Analysts), TSOP (The Society of Organic Petrology), and UGA (Utah Geological

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* Member Rates apply to members of the following societies: AAPG (American Association of Petroleum Geologists), AASP (American Association of Stratigraphic Palynologists), AWG (Association of Women Geoscientists), CPC (Circum-Pacific Council for Energy & Minerals Resources, Inc.), GSL (Geological Society of London), GSA (Geological Society of America), IAMG (International Association of Mathematical Geology), NABGG (National Association of Black Geologist & Geophysicists), SEG (Society of Exploration Geophysicists), SEPM (Society for Sedimentary Geology), SIPES (Society of Independent Earth Scientists), SPE (Society of Petroleum Engineers), SPWLA (Society of Professional Well Log Analysts), TSOP (The Society of Organic Petrology), and UGA (Utah Geological Association).** Emeritus Members must be current members of one of the above associations with 30 years and be 65 years old before you qualify.

Registration Type On or before 22 March Midnight EST On or before 19 April Midnight EST After 19 April Midnight EST

Four-Day Technical Program & Exhibition

Member* ❑ $545 ❑ $650 ❑ $755

Emeritus Member** ❑ $275 ❑ $325 US ❑ $378

Join and Save ❑ $545 + dues ❑ $650 + dues ❑ $755 + dues

Nonmember ❑ $650 ❑ $755 ❑ $860

Student Member* ❑ $55 ❑ $55 ❑ $75

Student Nonmember ❑ $70 ❑ $70 ❑ $90

Includes: Access to the Opening Session and Awards Ceremony, Icebreaker Reception, Oral and Poster Sessions, Refreshment Breaks, End-of-Day Receptions, and Exhibition as well as the access code to the Digital Library for the Abstracts.

One-Day Technical Program & Exhibition

One-Day Member * ❑ US $355

One-Day Nonmember ❑ US $420

Choose Registration Day(s): ❑ Sunday ❑ Monday ❑ Tuesday ❑ Wednesday

Includes: Access to the Oral and Poster Presentations, Refreshment Breaks, End-of-Day Receptions, and Exhibition for the day you register as well as the access code to the Digital Library for the Abstracts. You will need to purchase a one-day Sunday Exhibition Pass in order to attend the Opening Session and Awards Ceremony and the Icebreaker Reception.

One-Day Exhibition

One-Day Member* ❑ $100

One-Day Nonmember ❑ $100

Choose Registration Day(s): ❑ Sunday ❑ Monday ❑ Tuesday ❑ Wednesday

Includes: Access to the Refreshment Breaks, End-of-Day Receptions, and Exhibition for the day you register. You will need to purchase a one-day Sunday Exhibition Pass in order to attend the Opening Session and Awards Ceremony and the Icebreaker Reception on Sunday.

Guests

Guest ❑ $100

Guest of Emeritus Member** ❑ $50

Please list Guest Name: _______________________________________________

Includes: Access to the Opening Session and Awards Ceremony, Icebreaker Reception, Oral and Poster Sessions, Refreshment Breaks, End-of-Day Receptions, and Exhibition as well as a guest amenity. (May not be a member of any of the listed associations or a professional in the industry and must be accompanied by a convention registrant.)

Non-Convention Activity Fee

Field Trip/Short Course ❑ $30 + cost of trips/courses

Includes: Access only to field trip(s) and/or short course(s) for which you register. If you do not register for the convention and exhibition in addition to the field trip(s) and/or short course(s), you will not receive access to any activities or events during the convention and exhibition.

STEP TWO: SELECT REGISTRATION TYPE

MEMBERSHIP (New membership only)Joining AAPG enables you to register at the member rate. Fee* # Tickets TotalMembership (with a North American mailing address) $125 ______ $_____Membership (with an International mailing address) $145 ______ $_____MEMBERSHIP SUBTOTAL $_________

REGISTRATION SUBTOTAL $_________

Page 3: Three ways to register...SPE (Society of Petroleum Engineers), SPWLA (Society of Professional Well Log Analysts), TSOP (The Society of Organic Petrology), and UGA (Utah Geological

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Convention Registration FormAll registration fees are in USDEVENTS, ACTIVITIES, AND FIELD TRIPS (No refunds after 19 April unless otherwise noted)P=Professional, S=Student, F=Faculty Advisor, G=Graduate Student

Luncheons Fee* # Tickets TotalAll-Convention Luncheon: The Permian Basin - A View from a Local Independent (Monday, 21 May) $60 ______ $_____Division of Professional Affairs (DPA) Luncheon: Global Natural Gas Markets - Their Rapid Expansion and the Implications to the Western United States (Tuesday, 22 May) $55 ______ $_____

SEPM Business Meeting Luncheon: Geoconservation - Preserving Classic Outcrops, Resources, and Accessibility (Tuesday, 22 May) $50 ______ $_____

EMD/DEG Luncheon: Oil Shale - From Yesterday to Today, From Eastern Europe to Eastern Utah (Wednesday, 23 May) $55 ______ $_____Unconscious Bias Luncheon (Wednesday, 23 May) $XX ______ $_____

Career Seminar Student Career Seminar (Monday, 21 May) $10 ______ $_____

Social Activity A Night at the Natural History Museum of Utah – Hosted by the AAPG Rocky Mountain Section (Tuesday, 22 May) $50 ______ $_____

Guest Tours See the Main Sights of Salt Lake, Including the Lake! (Monday, 21 May) $45 ______ $_____“Alps of Utah” Snowbird Spa Day (Monday, 21 May) $105 ______ $_____Heber Valley Historic Railroad, Provo Canyon Excursion (Tuesday, 22 May) $65 ______ $_____Red Butte Garden (Tuesday, 22 May) $40 ______ $_____See the Main Sights of Salt Lake City! (Wednesday, 23 May) $55 ______ $_____

Pre-Convention Field Trips 1 Predictive Models for Fluvial Reservoir Development and Properties: Salt Wash Distributive Fluvial

System, Morrison Formation (UGA) – P/S (Double Occupancy) $730 ______ $_____2 Geology of Bryce Canyon and Zion National Parks, Southwestern Utah (UGA) – P/S (Double Occupancy) $470 ______ $_____2 Geology of Bryce Canyon and Zion National Parks, Southwestern Utah (UGA) – P/S (Single Occupancy) $620 ______ $_____3 Exploring the Diverse Geology of Capitol Reef National Park (UGA) – P/S (Double Occupancy) $420 ______ $_____4 Stratigraphic Elements of Shoreface and Deltaic Strata, Upper Cretaceous of the

Northern Book Cliffs (SEPM) – P (Double Occupancy) $350 ______ $_____4 Stratigraphic Elements of Shoreface and Deltaic Strata, Upper Cretaceous of the

Northern Book Cliffs (SEPM) – S (Double Occupancy) $100 ______ $_____5 Fluvio-Deltaic and Lacustrine Interpretations of Potential Source and Reservoir Rocks:

Examples From the Green River Formation, Uinta Basin, Utah (UGA) – P/S (Double Occupancy) $575 ______ $_____6 Great Salt Lake: Microbialites, Past and Present (UGA) – P/S (hotel not included) $310 ______ $_____

Post-Convention Field Trips 7 Upper Cretaceous Stratigraphy, Depositional Environments, and Reservoir Geology of

the Henry Mountains Region, Southern Utah (SEPM) – P (Double Occupancy) $1,325 ______ $_____7 Upper Cretaceous Stratigraphy, Depositional Environments, and Reservoir Geology of

the Henry Mountains Region, Southern Utah (SEPM) – S (Double Occupancy) $700 ______ $_____8 Fault Zone Structure Controls on Fault Sealing and Fluid Migration in Hydrocarbon Reservoirs and Carbon Capture

and Storage Prospects: Examination of Natural Analogs From Southeastern Utah (UGA) – P/S (Single Occupancy) $730 ______ $_____9 Classic Geology of Arches and Canyonlands National Parks, and Spectacular

Points Along the Way (UGA) – P/S (Single Occupancy) $440 ______ $_____10 The Changing Power Generation Scene in Utah (UGA) – P/S (Single Occupancy) $350 ______ $_____11 Shelf to Basin Transect Through the Phosphoria Formation in Northeastern Utah and

Implications for Hydrocarbon Exploration (UGA) – P/S (Double Occupancy) $400 ______ $_____12 Lake Type Evolution and Microbialite Facies of the Eocene

Green River Formation, Wyoming (SEPM) – P (Double Occupancy) $715 ______ $_____12 Lake Type Evolution and Microbialite Facies of the Eocene

Green River Formation, Wyoming (SEPM) – S (Double Occupancy) $350 ______ $_____13 Overview and Timing of the Northern Utah Sector of the Sevier Fold-and-Thrust Belt: Its Interaction with

Laramide Structures and Ultimate Collapse During Tertiary Extension (UGA) – P/S (hotel not included) $235 ______ $_____

EVENTS, ACTIVITIES AND FIELD TRIPS SUBTOTAL $_________

Page 4: Three ways to register...SPE (Society of Petroleum Engineers), SPWLA (Society of Professional Well Log Analysts), TSOP (The Society of Organic Petrology), and UGA (Utah Geological

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Convention Registration FormAll registration fees are in USD

SHORT COURSES (No refunds after 19 April unless otherwise noted)P=Professional, S=Student, F=Faculty Advisor, G=Graduate Student

Pre-Convention Short Courses Fee* # Tickets Total1 Petrography of Mudrock Hydrocarbon Reservoirs (RMAG) – P $300 ______ $_____1 Petrography of Mudrock Hydrocarbon Reservoirs (RMAG) – S $150 ______ $_____2 An Introduction to Core Analytical Techniques (MGS) – P $560 ______ $_____2 An Introduction to Core Analytical Techniques (MGS) – S $280 ______ $_____3 Dissecting a Cretaceous Fluvial - Deltaic Succession in Core, Ferron Sandstone, Utah (UGA) – P $250 ______ $_____3 Dissecting a Cretaceous Fluvial - Deltaic Succession in Core, Ferron Sandstone, Utah (UGA) – S $75 ______ $_____4 Fracture Characterization (PROWESS) – P $100 ______ $_____4 Fracture Characterization (PROWESS) – S $50 ______ $_____5 Concepts, Models, and Case Studies of Dolomitization - With Applications to Hydrocarbon

Exploration and Development (AAPG) – P $895 ______ $_____5 Concepts, Models, and Case Studies of Dolomitization - With Applications to Hydrocarbon

Exploration and Development (AAPG) – S $115 ______ $_____6 Sequence Stratigraphy for Graduate Students (SEPM) – G/S $50 ______ $_____7 Advanced Sequence Stratigraphic Applications for Exploration (SEPM) – P $700 ______ $_____7 Advanced Sequence Stratigraphic Applications for Exploration (SEPM) – S $150 ______ $_____8 Mechanical Fundamentals for Production from Low Permeability Reservoirs (UGA) – P/S $200 ______ $_____9 Chemometric Tools to Establish Petroleum Systems, Predict Physical Properties,

and De-Convolute Mixed Production (AAPG) – P $515 ______ $_____9 Chemometric Tools to Establish Petroleum Systems, Predict Physical Properties,

and De-Convolute Mixed Production (AAPG) – S $115 ______ $_____10 Tricky Carbonates Made Simple (UGA) – P $450 ______ $_____10 Tricky Carbonates Made Simple (UGA) – S $100 ______ $_____11 Sequence Stratigraphic Analysis of Shales and Mudstones: Key to Paleoclimate Archives,

Subsurface Fluid Flow, and Hydrocarbon Source, Reservoir, and Seal (SEPM) – P $600 ______ $_____11 Sequence Stratigraphic Analysis of Shales and Mudstones: Key to Paleoclimate Archives,

Subsurface Fluid Flow, and Hydrocarbon Source, Reservoir, and Seal (SEPM) – S $100 ______ $_____12 UAVs and Virtual Outcrops – from Data Collection to Final Interpretation (AAPG) – P $515 ______ $_____12 UAVs and Virtual Outcrops – from Data Collection to Final Interpretation (AAPG) – S $115 ______ $_____13 Applied Petroleum Geochemistry (EMD) – P $600 ______ $_____13 Applied Petroleum Geochemistry (EMD) – S $300 ______ $_____14 Unconventional Resource Assessment and Valuation (EMD) – P $570 ______ $_____14 Unconventional Resource Assessment and Valuation (EMD) – S $285 ______ $_____

Post-Convention Short Courses 15 Petrophysical Evaluation of Unconventional Reservoirs (PTTC) – P $300 ______ $_____15 Petrophysical Evaluation of Unconventional Reservoirs (PTTC) – S $150 ______ $_____16 Rock and Seismic Sequence Expression of Carbonate Systems –

Exploration and Reservoir Characterization (SEPM) – P $700 ______ $_____16 Rock and Seismic Sequence Expression of Carbonate Systems –

Exploration and Reservoir Characterization (SEPM) – S $150 ______ $_____

SHORT COURSE SUBTOTAL $_________

Page 5: Three ways to register...SPE (Society of Petroleum Engineers), SPWLA (Society of Professional Well Log Analysts), TSOP (The Society of Organic Petrology), and UGA (Utah Geological

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STEP THREE: PRODUCTS (Please include all pages when mailing or faxing your registration form if you purchase activities.)

STEP FOUR: TOTAL PAYMENT AND WAIVER/RELEASE

Cancellations/RefundsCancellations can be made by following the instructions on your confirmation or contact the AAPG Registration Center/TPN by email [email protected], fax, telephone or mail by 5 April. Cancellations received on or before 5 April will be fully refunded less a $75 processing fee. Refunds will not be issued after 5 April or for “no shows.” You may substitute one participant for another. Refunds for field trips and/or short courses can be made until 19 April. No refunds for field trips and/or short courses can be made after this date.

By registering for the AAPG 2018 Annual Convention & Exhibition (ACE), I release and agree to indemnify and hold harmless the American Association of Petroleum Geologists (AAPG) and the Utah Geological Association (UGA) agents, officers, servants and employees from all liability for any loss, damage or injury sustained by me while involved in any way with ACE and UGA except that AAPG and UGA is released from such liability to the extent the same is caused by its actual negligence or willful misconduct. By checking the box below have read and understand this waiver and release.

❑ I have read and understand this waiver.

❑ American Express ❑ Discover ❑ MasterCard ❑ Visa ❑ Wire Transfer (for details email [email protected]) ❑ Check #________________ (Check payable to AAPG 2018 ACE)

Total amount due for activities from pages 2-4 US $

Total amount due for registration and events US $

Credit Card Number Expiration Date

Name on Card (please print) Signature

Please fill out the following questionnaire:Are you a member of any of the following? Check all that apply ❑ AAPG ❑ AASP ❑ AWG ❑ CPC ❑ GSL ❑ GSA ❑ HGS ❑ IAMG ❑ NABG ❑ SEG ❑ SEPM ❑ SIPES ❑ SPE ❑ SPWLA ❑ TSOP ❑ UGAI belong to the following AAPG Division(s): ❑ DEG ❑ DPA ❑ EMD ❑ PSGDI am a(n): Check all that apply ❑ AAPG Section President ❑ AAPG Region President ❑ Affiliated Society President ❑ AAPG Section Officer ❑ AAPG Region Officer ❑ DEG President ❑ DEG Officer ❑ DPA President ❑ DPA Officer ❑ EMD President ❑ EMD Officer ❑ PSGD Chair ❑ PSGD Vice ChairI am a: Check all that apply ❑ Speaker ❑ Poster Presenter ❑ Session Chair ❑ Technical Program Committee ❑ Field Trip Leader ❑ Short Course Instructor ❑ Convention Committee ChairWhich best describes your occupation? ❑ Academic ❑ Engineer ❑ Geologist ❑ Geophysicist ❑ Landman ❑ OtherWhich best describes your position? ❑ Executive Management ❑ Mid Management ❑ Staff Employee ❑ Independent Consultant ❑ Professor ❑ Student ❑ Retired ❑ Other ❑ In Tranistion/DisplacedGender: Age: ❑ Male ❑ Female ❑ 24 and under ❑ 25-29 ❑ 30-39 ❑ 40-49 ❑ 50-59 ❑ 60-69 ❑ 70+Are you are First Time Attendee? ❑ Yes ❑ No How many years have you attended ACE? Please indicate number of years: _____________Special Needs: ❑ Wheelchair Rental ❑ Wheelchair Accessible ❑ Vegetarian ❑ Other Dietary NeedsOther: ❑ I need a letter for visa purposes ❑ I want to be a judge ❑ I wish to receive updates for ACE 2018 and AAPG events via email/mail ❑ I want to be a student volunteer ❑ Send Young Professional Meet & Greet information

Emergency Contact Information (This information is extremely important in the event of an accident or medical emergency. Information will only be used in case of an emergency.)Primary Contact: ______________________________________________________________________________________________________________________________Relationship: __________________________________________________________________________________________________________________________________Mobile/Cell Number: __________________________________________________________________________________________________________________________Home Phone: _________________________________________________________________________________________________________________________________List any medical conditions/allergies you might have: ___________________________________________________________________________________________


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