Regular Mail or FAX - Registration Form

Fall Meeting of the Illinois and Chicago Sections of AAPT, Oct. 26-27, 2001, Joliet Jr. College.

Name:  ________________________________________________________________

Address - line 1:  _________________________________________________________

Address - line 2:  _________________________________________________________

City, State ZIP: __________________________________________________________

Telephone: (______)_______________ Ext.__________ FAX: (______)_____________

E-mail:  ________________________________________________________________

Institution (to appear on your name tag):  _______________________________________

The time slots for doing a "Take Five" are now filled.  

Description Number Unit cost Amount
Faculty registration - both days   $15  
Faculty registration - Friday only   $ 8  
Faculty registration - Saturday only   $ 8  
Student registration   $ 5  
Illinois section dues   $ 5  
Chicago section dues   $ 5  
Workshop  W1 - "PER-based Problem Solving", 10:00-12:00 and 12:45-2:45
     (The afternoon session is not a repeat of the morning session.)
  free  
Workshop  W2 - "LabPro", 10:00-12:00   free  
Workshop  W3 - "FrontPage", 10:00-12:00   free  
Workshop  W4 - "BlackBoard Course Management", 12:45-2:45   free  
Workshop  W5 - "WebAssign", 12:45-2:45 - full   free  
Workshop  W6 - "Workshop/Demonstration of JCC Planetarium", 10:00-12:00   free  
* Friday evening banquet.  Please circle your choice:  (a) Chicken - $12, (b) Prime Rib - $16, or (c) Vegetarian- $12 - past deadline      
* Saturday noon box lunch.  Please circle your choice:  (a) Turkey & Monterey Jack,  (b) Vegetarian, (c) Beef & Cheddar, or (d) Ham and Swiss Cheese - past deadline      
Total fees  

* The meals are available only to those who have registered by the October 23 deadline.  Please make your check payable to ISAAPT and include it with the registration sent via US Mail.  If registering by FAX or online, the registration amount will be due upon arrival.  Please return this registration form to:  Curtis Hieggelke, Natural Science Department, Joliet Junior College, Joliet, IL 60431.  FAX: 815-280-6671.

Banquet Menu:  (a) Chicken Marsala, Fettuccine, Mixed Vegetable, Napoleon or Cream Puff ($12), (b) 9 oz Prime Rib Au Jus, Baked Potato with Sour Cream, Broccoli, Hollandaise, German Chocolate Torte ($16). (c) Vegetarian meal.  Note: All choices include tossed salad with choice of dressing, dinner rolls, and beverages.

Last update: October 24, 2001

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