Regular Mail or FAX - Registration Form
Fall Meeting of the Illinois
Section of AAPT, October 18-19, 2002, Millikin University, Decatur, Illinois
Name:
________________________________________________________________
Address - line 1:
_________________________________________________________
Address - line 2:
_________________________________________________________
City, State ZIP:
__________________________________________________________
Telephone: (______)_______________
Ext.__________ FAX: (______)_____________
E-mail:
________________________________________________________________
Institution (to appear on your name tag):
_______________________________________
I would like to do a "Take Five" (e.g. a demo,
announcement,...) on ___ Fri. afternoon, ___ Sat. morning.
The title of my Take Five presentation is:
_______________________________________________
| Description |
Number |
Unit cost |
Amount |
| Faculty registration |
|
$15 |
|
| Student registration |
|
$ 5 |
|
| Illinois section dues |
|
$ 5 |
|
| Workshop W1 - "PTRA Rural Institute - Microcomputer
Labs: LabPro and LoggerPro", Friday
9:00-12:00 and Saturday 1:00-4:00 |
|
free |
|
| Workshop
W2 - "A Web-based Prep Course for Calculus Physics", 10:00-12:00 |
|
free |
|
| * Friday evening banquet. Please circle your
choice: (a) Chicken - $14, (b) Roast Beef - $15, or (c)
Vegetarian - $13 |
|
$13,14
or 15 |
|
| * Saturday noon box lunch. |
|
$ 5 |
|
| Total fees |
|
* The meals are available only to those who have
registered by the October 9 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:
John Askill, Department of Physics and Astronomy, 1184 West Main Street, Millikin University,
Decatur, IL 62522. Fax: 217-362-6408