First Name:		Last Name:
Title:		Organization Name:
Address:		Work Phone:
City:   Any Albany Anchorage Antwerpen Auffargis Bemidji Bethel Blacksburg Colfax Colorado Springs Denver Douglas Fairbanks Frankfort Ft Snelling Geeraardsbergen Glasgow Houston Isanti Jamestown Kalispell Kingsville Lafayette Las Vegas Leuven Livermore London Manhattan Marana Missoula Monticello Nashville Newcomb Onalaska Phoenix Redlands Rhinelander Richmond Seattle Sewanee Seward St Paul St. Petersburg Stevens Point Toronto Urnäsch Woodstock	State:	Fax Number:
Country:	Postal Code:	E-mail Address:
Working Group Member? Yes   No   Either   GIS Knowledge? Yes   No   Either   GPS Knowledge? Yes   No   Either   RS Knowledge? Yes   No   Either   Telemetry Knowledge? Yes   No   Either			Software: Areas of Interest: