REGISTRATION FORM
53nd Annual Meeting of the
South Carolina Entomological Society
Pee Dee REC, Florence, SC
Thursday Friday
4 - 5 October 2007

Please return this form by September 19, 2007. Registration may also be accomplished on-site for a surcharge, $10 active/$5 student. Pre-registration is encouraged to assist with Local Arrangements planning.

REGISTRATION
CATEGORY AMOUNT PAID
Active Member ($50.00) ______________
Student ($25.00) ______________
one day ($25.00) ______________

2008 MEMBERSHIP Renewal
CATEGORY AMOUNT PAID
Active ($30.00) ______________
Emeritus/Student ($15.00) ______________

Bio-Blitz interest area (see reverse side) _________________________

**** NOTE: We do not accept credit cards! ****
Name: ____________________________________________________________________________
Address: __________________________________________________________________________
City, State, Zip Code: _______________________________________________________________
Telephone: __________________ Fax: _________________
E-Mail: _________________________
Badge to Read: Name: __________________________________________________________

Employer: ____________________________________________________________________

Make checks payable to:
South Carolina Entomological Society or SCES
send to:
South Carolina Entomological Society
3517 Flowering Oak Way
Mt. Pleasant, SC 29466