Registration

Please print this page and mail completed form to:

International Netsuke Society
P.O. Box 833272
Richardson, TX 75083-3272 USA
 
Current INS Membership Required ($125)
  Prior to 6/1/05 After 6/1/05
Members  $425.00 $450.00
Accompanying adults & staff $375.00 $400.00
Daily rate, members & non-members  $75.00
Excluding 9/30/05 (last day)

SAN FRANCISCO 2005
International Netsuke Society Convention  ٠  September 26-30, 2005

Registration Form

Registration for ______ Members    AND/OR     _______ Guests
Name:
Address:
City:
State:                                                           Zip Code:                              Country:
Visa           MasterCard          American Express

Name on Card:                                                                        Expiration:

Signature:                                                                                 Date:

 
INQUIRIES: 
Marsha Vargas, Convention Chairman ٠ 140 Maiden Lane ٠ San Francisco, CA 94108 USA
Tel: 415 307 7292 ٠ Fax:  415 984 5856 ٠ E-mail:  mvargas@xanadugallery.us