REGISTRATION FOR THE 13th ANNUAL TENNESSEE HERPETOLOGICAL SOCIETY CONFERENCE

East Tennessee Museum of Natural History and Gray Fossil Site, Gray, Tennessee

Last Name______________________________ ______

First Name_____________________________ _ ______
Institution/affiliation__________________________ ________
Address_________________________ ________ ___
City, State_________________________________ ___ Zip Code____________________________________
Telephone_______________________ _______
E-mail________________________________ _
How do you want your name to appear on your badge? _________________________ _________

How do you want your affiliation to appear on your badge? ______________________ _________

REGISTRATION FEES

______$25 (Professional)

______$10 (Student)

______$15 THS individual membership dues, $10.00 Student dues (See membership form for other membership categories)

______$12 Single Meal ticket (vegetarian options will be available)

__________ Total amount enclosed. Note: You may pay by check (made out to THS) or you may pay at the door.

FIELD TRIP
______Field trip TBA Saturday morning. Please indicate interest in attending by putting an X in the blank.

PRESENTATION/MEDIA
________Oral presentation _________Poster presentation

Submission deadline for papers and posters abstracts – September 21, 2007.

Please indicate your preference for your oral presentation
__________LCD Computer projector (please bring your presentation saved on a CD).
__________35mm slide projector
__________Overhead projector

MAIL, FAX or EMAIL your completed registration form to:

Tom Laughlin
Department of Biological Sciences
Box 70703
East Tennessee State University
Johnson City, TN 37604

Email: Laughlin@etsu.edu
Office: (423) – 439-8459
Fax: (423) – 439-5958
Updated meeting information will be posted to the website at: http://faculty.etsu.edu/laughlin/tnherpmeeting07/Index.htm