Herpetology of the Californias
Symposium Registration Form

To register, you may fill in this form online and use the submit button below to send it, or you may print the completed form, and fax with your credit card information to (619) 232-0248, or mail with a check to:

Herpetology of the Californias Symposium
San Diego Natural History Museum:
P.O. Box 1390, San Diego, CA 92112 USA


Name:
Position:
Institution:
Mailing Address:
City/State/ZIP or C.P.:
Telephone:
Fax:
Email Address:

Symposium Registration Fees (non-speakers)

Advance Registration (by 1 May 1998) Late Registration (at the door)
Basic ($25)
Student $12.50 (must include a copy of student ID)		 Basic ($30)
Student $12.50 (must include a copy of student ID)

Banquet -- $20.00 (must be paid by 12 May 1998).
Please indicate any special needs for lunch.
Harry Greene's lecture on May 14 -- $6 (members' price).

Total:

I am enclosing a check or money order payable in U. S. dollars to the San Diego Natural History Museum.
I will call (619) 232-3821, ext.226 with my credit card number.
Please charge to my credit card account: VISA MasterCard

This form does not use a secure server. You may call in your credit card number to (619) 232-3821, ext.226.
Your name(s):
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Symposium Information

BRCC | Herpetology