Affiliation__________________________________________________________________
Address___________________________________________________________________
City_________________________________State_______Zip________________________
E-mail____________________________________________________________________
IHS Hotel room rates if booked by June 30, 2012: $89/day Single/Double. Hotel Reservations must be made directly with
the Ramada BWI Airport Hotel, 7253 Parkway Drive, Hanover, MD 21076. Call the hotel at: (410) 712-4300 or
Fax: (410) 712-0921 or Reservations: 1-888-288-4982 US Toll Free Reservations. When making your hotel reservation
mention the International Herpetological Symposium to secure special group rate.
Tour of the National Zoo Reptile Exhibit will be $35.00 per person and will include lunch and transportation.
There will be a buffet dinner for the banquet on July 28th 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 beer and wine. 8:00 A.M. - 5:00 P.M.
______ I (we) will be attending the banquet on Saturday night.
| Full Registration(s)
#_____ @ $135.00 USD ea. = |
$_________ |
|
(on or before July 1, 2012) |
| Spouse (or child <16 yrs) Registration #_____ @ $ 65.00 USD ea. = |
$_________ |
|
(dinners and transportation only) |
| Late Registration(s)
#_____ @ $175.00 USD ea. = |
$_________ |
|
(after July 1, 2012) |
| Late Spouse (or child <16 yrs) Registration #_____ @ $ 75.00 USD ea. =
|
$_________ |
|
(after
July 1, 2012) |
| Additional Charge for Saturday Banquet #_____ @ $ 40.00 USD ea. =
|
$_________ |
| Additional Charge Wednesday Field Trip #_____ @ $ 35.00 USD ea. =
|
$_________ |
|
TOTAL |
$_________ |
_____ Check enclosed _____
VISA _____ MasterCard
Card#
___________________________________________________ Exp. ___________
Signature
________________________________________________________________
Please remit by July 1, 2012. 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