APPLICANT INFORMATION:

RSVP Request Date:  Your Name eMail Address: Address: City: State: Select State AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY OTHER - List in additional comments area Zip: Telephone: Fax:

GUEST INFORMATION:

Number of tickets required for Annual Meeting Luncheon: $45.00 Member/Member Guest $25.00 Resident $75.00 Non-Member (*) (*) PLEASE NOTE: Non-members may join WDS on-line by clicking HERE. Annual dues are $100; application fee $25. For residents, dues are waived. Thanks to generous sponsorship support, the luncheon fee for residents has been reduced. If you wish to sponsor residents, list their names below. In order to secure tickets, the resident names are required. Individuals will not be admitted without a ticket. Make a photocopy if submitting more than six (6) names:: 1. 2. 3. 4. 5. 6. Additional Guests: If sponsoring more than six residents list additional residents here Number attending the Networking Reception on Feb 1 (free) Number attending the Academic Breakfast on Feb 2 (free) Number attending the Annual Luncheon on Feb 3 (refer to ticket prices above) Total amount enclosed $ Advance registration is required and must be received by January 22, 2008. Tickets will NOT be sold at the door. Refunds, less a $15 administrative fee, will be available for cancellations received in writing at the WDS office prior to Jan. 22. After that date, no refunds available. Your ticket(s) will be mailed to you in advance if you register before January 15. After that day, you may pick up your tickets at the WDS Center or at “WILL CALL” on the day of the luncheon. A limited number of reunion tables are available, and requests will be honored depending on available seating. Requests for reunion tables must be made by no later than January 15. Reunion tables will be identified with a sign of the table organizer. I am requesting reunion seating (please list the names of the other guests with whom you would like to be seated:

ADDITIONAL INFORMATION:

The Women’s Dermatologic Society Foundation Contribution (optional) ...a non-profit organization dedicated to supporting the objectives and activities of the Women’s Dermatologic Society (WDS) welcomes your tax-exempt charitable contribution. (WDS Foundation - Tax ID #20-0084052) Contribute Online (Opens a new web browser window so you can continue with this registration) Details about the WDS Foundation (Opens a new window) Questions? eMail: wds@womensderm.org -or- Call: (415) 764-4925 Additional Comments or Special Request: List Comments or Request Here

Tickets to the Annual Meeting Luncheon on Feb 3, 2008 - SOLD OUT This event is now sold out. If you purchased a ticket, it will be mailed to you shortly. If you do not receive your ticket in the mail by January 28, please contact the WDS office at (415) 764-4925. For international members, tickets can be picked up at the WDS Center located at the Marriott Riverwalk Hotel, Travis Room, beginning on Friday, Feb 1st. They will also be available at "will call" at the door of the luncheon. No tickets will be sold at the luncheon. Alternatively, members are encouraged to attend the WDS Networking Reception on Friday, Feb 1, at 5:30 p.m. at the Marriott Riverwalk Hotel, Alamo Salon C. Additional Details and RSVP Online Here

Women's Dermatologic Society
575 Market Street, Suite 2125 • San Francisco, CA 94105
FAX: (415) 764-4933
Toll Free: 1-877-WDS-ROSE (877-937-7673)