TIDS Annual Meeting: 2010
Friday, June 11- Sunday, June 13, 2010
Hyatt Regency Hill Country Resort, San Antonio, Texas

You may click the "Submit" button below to send via email or print this page from your browser and fax to Michelle Bailey, 210-567-4670

Name:

Address:

Address:

City: State: Zip:

Phone: (xxx-xxx-xxxx)

Fax: Email:

Due to recent modifications in the guidelines for CME certification, meals and libations cannot be provided for attendee’s family or other guests. As a result, reasonably priced meal tickets will be made available for the two dinners and the Saturday luncheon. Additionally, a “cash-bar” will be available at the dinners.

Please fill out the brief questionnaire below so that we may plan the various functions based on attendance. In order to defray the costs of meals for guests and CME, please mail a check to the address below or pay at registration.  

The Texas Infectious Diseases Society
The University of Texas Health Science Center at San Antonio
7703 Floyd Curl Drive   MC7881, San Antonio, TX 78229-3900

I will attend the Texas Infectious Diseases Society Meeting in San Antonio, June 11-13, 2010 and
will bring (number of) guests, plus fellows or trainees (no cost for registration).

Registration fees:

Yes No 2010 Dues ................................................................................................... Total: $ ($ 50.00 ea.)

Members' Registration Fee ................................................................................................... Total: $ ($100.00 ea.)

Non-members' Registration Fee .......................................................................................... Total: $ ($250.00 ea.)

Yes No Continued Medical Education ...................................................................Total: $ ($ 25.00 ea.)

Meals:

Yes No I will attend the Reception/Dinner on Friday June 11, 2010:
Additional Adult Guests: ($30 per person)
Additional Child Guests ($15 per child)..................................................................... Total: $

Yes No I will attend the Hill Country Lunch on Saturday June 12, 2010:
Additional Adult Guests: ($25 per person)
Additional Child Guests ($12.50 per child)................................................................ Total: $

Yes No I will attend the Reception/Dinner on Saturday June 12, 2010:
Additional Adult Guests: ($30 per person)
Additional Child Guests ($15 per child)..................................................................... Total: $

 

..................................................................................................................................TIDS 2010 Total: $