Online Registration Form

Fall Meeting of the Illinois  and Iowa Sections of the AAPT
October 13-14, 2006
Rock Island High School, Rock Island, Illinois
 
Doppler Effect
First name   Last name  
Mailing address - line 1 
Mailing address - line 2 
City  State   ZIP code 
E-mail 
Institution (to appear on your name tag)  
I would like to do a "Take Five" (e.g. a new demo, announcement...)         
Title for my Take Five  
I will be bringing an item for the WITHIT (What in the heck is this?) table   
 
Registration Fees
**The Amount will be calculated and displayed after you click the Registration button.
Description No. Unit cost **Amount Food Choices
Faculty registration $24    
Student registration $ 5  
Illinois section dues $ 5  
Iowa section dues $ 5  

Please indicate if you wish to register for a workshop.
W1. Robotics in the College and High
       School Classrooms, Friday, 10:00-12:00		 Note: You may only register for one of these. free  
W2. Personal Response System
       Friday, 11:00-12:00		 free  
W3. Make It and Take It - Saturday, 8:30-9:30 am $10  

The deadline for meal reservations was Friday, October 6
Friday evening buffet banquet *   The entrees are chicken, ham and vegetable lasagna. The deadline for meal reservations is past.
Saturday noon box lunch * 
Total fees    
* The meals are available only to those who have registered by the October 6 deadline.  All registration fees are due the day of the meeting. Checks should be made payable to ISAAPT.
                                                      

Webmaster: David Renneke - DavidRenneke@augustana.edu, (309) 794-3403
Last update: October 9, 2006

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