2017 Tennessee Herpetological Society Registration
Please use this form to register for the annual Tennessee Herpetological Society Meeting which will be held at Middle Tennessee State University September 28-29.
Last Name
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First Name
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Institution/Affiliation
Your answer
Address
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Telephone Number
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Email address
Your answer
Non-university/business email
Your answer
How do you want your name to appear on your name badge?
Your answer
How do you want your institution/affiliation to appear on your name bage?
Your answer
Registration and Membership
Please select the appropriate registration and membership fees.
Registration Fees (select one)
Membership Fees (select one)
Evening Banquet and Auction
Please respond to these questions if you plan on attending the evening banquet and auction. We will need a very good idea of the number of members attending prior to placing the final meal order.
Meal Ticket
Banquet Meal
This year we will be ordering a build your own BBQ buffet style dinner that includes choices of pulled BBQ pork, pulled BBQ chicken, coleslaw, baked beans, collard, greens, etc. Drink options will include tea and water. Please select your choice of entrée.
Meal Choice
THS Meeting Field Trips
Each year a field trip is offered to our members upon conclusion of the annual meeting. Occasionally, tours are offered by our local hosts. The location of the field trip has yet to be determined, but will take place at a local area state natural area or state park within a short distance of the university. Please select an option if you intend to participate in either the field trip or tour.
THS Annual Field Trip
Mailing Registration and Membership Fees
Please mail your membership and registration fees to our Treasurer Dustin Thames at the address below. You do have the option of paying all meeting and membership fees the day of the meeting.

Dustin Thames, Treasurer
Tennessee Herpetological Society
6310 Rock Creek Rd
Tullahoma, TN 37388-6063

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