The Society of Exploration Geophysicists
International Country Sponsors

SEG 1996 International Exposition
Pledge Form


Pledge Amount: _____________

On Behalf of (company name) ___________________________________________________,

I hereby authorize sponsorship as indicated:


Signature: ________________________________ Date: __________________

Address:

___________________________________________

___________________________________________

___________________________________________

___________________________________________

Tel: ________________________________
Fax: ________________________________

Circle one Option
Platinum Gold Silver Bronze Supporter


Please make checks payable to SEG International Showcase

Mail to:
R. Jaworskyi, International Sponsorship Chairman
c/o The Energists
10260 Westheimer, Suite 300
Houston, TX 77042