REGISTRATION FORM 
 

HISTORIC PHYLAXIS 34th /PHYLLIS 24th ANNUAL SESSIONS

Wyndham Hotel Albuquerque

2910 Yale Blvd SE

Tele: 1- (800) 227-1117 
 

PLEASE MAKE YOUR HOTEL RESERVATIONS EARLY.

HOTEL CUTOFF DATE IS FEBRUARY 11, 2007 
 

THE COST FOR SINGLE OR DOUBLE OCCUPANCY IS:

$69.00 PER ROOM PER NIGHT (PLUS APPLICABLE TAXES) 
 

NAME___________________________________________________________ 
 

ADDRESS________________________________________________________ 
 

CITY___________________________STATE________________ZIP_________ 
 

TELEPHONE _____________________________ 
 

MAIN DATES MARCH 8 THRU 10, YEAR 2007 
 

TRANSPORTATION PROVIDED TO AND FROM THE AIRPORT TO Wyndham Hotel Albuquerque 
 

EXECUTIVE STAFF, CHAPTER PRESIDENTS MEET MARCH 7, 2007

ADVANCE REGISTRATION  $   90.00

ON SITE REGISTRATION  $ 100.00

SATURDAY REGISTRATION  $   70.00 (Registration, Luncheon & Banquet)

Extra Souvenir Journal # ___________ (@ $8.00 ea.) Total $_____________________

ADDITIONAL TICKETS: Luncheon Ticket $30.00 Banquet Ticket $40.00

Luncheon: (#Fri) ________ (#Sat) _______ Banquet ________Total $______________ 
 

MAIL TO:

      Hon. Harold Bendaw, FPS, Treasurer

      12617 Indian School Rd NE

      Albuquerque, NM 87112-4917 
 

Make checks payable to: The Phylaxis Society Convention Fund.