2003 Gas Well De-Watering Workshop Page 2

ALRDC, SWPSC 2009 Gas Well Deliquification Workshop

Sponsorship Registration Form

February 23 – 26, 2009

Please complete this form to provide a sponsortship at the ALRDC, SWPSC 2009 Gas Well Deliquification Workshop. Please do not write in the shaded spaces.

Registration Information / Information Required for Registration
Sponsor Contact Name
Company
Mailing Address
City/State/Zip Code
Country
Telephone Number
FAX Number
E-Mail Address
Type of Sponsorship to be Given (Please See Below)
Amount of Sponsorship
Method of Payment? Check or Credit Card
If check, see instructions below.
If credit card: (e.g. American Express, Visa, Master Card, Discover)
Credit Card Type:
Credit Card Number:
Name Printed on Credit Card:
Expiration Date:
Billing Zip Code for Credit Card:
Type of Sponsorship You Wish to Give
General Sponsorship – Unspecified
(Check here is your sponsorship can be used at the discretion of the Workshop Committee.
Amount of Sponsorship
Specified Sponsorship
(Check here if you wish to specify how your sponsorship is to be used.
Please specify how you wish for your sponsorship to be used. (See list below.)
Amount of Sponsorship
Workshop Activities for Which Sponsorships may be Specified
•  Monday AM Coffee Break - Notebooks for Course 101a, b
•  Monday Lunch - Notebooks for Course 102a, 202a
•  Monday PM Coffee Break - Notebooks for Course 103a, 203a
•  Monday Reception / Happy Hour - Notebooks for Course 104a, 204a
•  Tuesday Author’s Breakfast - Notebooks for Course 105a, 205a
•  Tuesday AM Coffee Break - Notebooks for Course 106a, 206a
•  Tuesday Lunch - Notebooks for Course 107a, 207a
•  Tuesday PM Coffee Break - Notebooks for General Technical Sessions
•  Wednesday Author’s Breakfast - Badges
•  Wednesday AM Coffee Break
•  Wednesday Lunch
•  Wednesday PM Coffee Break
•  Thursday Author’s Breakfast
•  Thursday AM Coffee Break
•  Thursday Lunch
•  Thursday PM Coffee Break

Forms and payments may be sent via:

(a)  Electronic:

(b)  Fax: 1-806-742-3502

(c)  Mail: Gas Well Deliquification Workshop

Petroleum Engineering Department

Texas Tech University, Box 43111, Lubbock, Texas 79409-3000

Any Questions please contact Ronda Brewer:

Telephone: 1-806-742-1727

If paying by check, make it out to Southwestern Petroleum Short Course, indicate 2008 Gas Well Deliquification Workshop, and mail it to the address given above.