33nd ANNUAL IHS REGISTRATION FORM

(If you have not received your registration form in the mail, please print and complete this form and mail it to the address below)

Name(s)___________________________________________________________________

_________________________________________________________________________

Affiliation__________________________________________________________________

Address___________________________________________________________________

City_________________________________State_______Zip________________________

E-mail____________________________________________________________________

Make your room reservation well in advance. IHS Hotel room rates if booked by June 30, 2010: $77/day Single/Double. Hotel Reservations must be made directly with the Radisson Suites Hotel Tucson Airport, 7051 South Tucson Blvd., Tucson AZ 85756. Call the hotel at: (520) 225-0800 or Fax: (520) 225-0888 or Reservations: 1-800-395-7046 US/Canada Toll-free. When making your hotel reservation mention the International Herpetological Symposium to secure special group rate.

There will be a buffet dinner for the banquet on July 24th from 6:30 p.m. to 12:00 p.m. with a renown Banquet Speaker, awards presentation, and auction of herpetological related merchandise. The banquet is NOT INCLUDED in the registration fee. The Saturday Banquet is an additional charge of $40.00 which includes all beer, wine, and mixed drinks.

______ I (we) will be attending the banquet on Saturday night.
Full Registration(s)                                      #_____ @ $135.00 USD ea. = $_________
                         (on or before July 1, 2010)
Spouse (or child <16 yrs) Registration         #_____ @ $ 65.00 USD ea. = $_________
                         (dinners and transportation only)
Late Registration(s)                                     #_____ @ $175.00 USD ea. = $_________
                         (after July 1, 2010)
Late Spouse (or child <16 yrs) Registration #_____ @ $ 75.00 USD ea. = $_________
                         (after July 1, 2010)
Additional Charge for Saturday Banquet     #_____ @ $ 40.00 USD ea. = $_________
                                                   TOTAL $_________

_____ Check enclosed _____ VISA _____ MasterCard

Card# ___________________________________________________ Exp. ___________

Signature ________________________________________________________________

Please remit by July 1, 2010. We accept VISA and MasterCard. Checks or money orders must be in USD Funds and made payable to: International Herpetological Symposium, Inc. or IHS, and mailed to:

Giovanni Fagioli
32514 NE 77th St.
Carnation, WA 98014
Phone: (425) 861-7964
Fax: (425) 333-4205