Fall Meeting of the Illinois Section of AAPT, Oct. 10-11, 2003, Illinois State University, Normal, Illinois
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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 | $18 | ||
| Student registration | $ 5 | ||
| Illinois section dues | $ 5 | ||
| Workshop W1 - "Cosmic Ray Detection Network", Friday 9:00-12:00 | free | ||
| Workshop W2 - "Simple Experiments in Physics", Friday 9:00-12:00 | free | ||
| Workshop W3 - "What's a Good Question...", Friday 10:00-12:00 | free | ||
| * Friday evening banquet |
The deadline for meal |
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| * Saturday noon lunch. Circle your choice of sandwich: turkey, ham, roast beef, veggie | |||
| Total fees | |||
* The meals are available only to those who have registered by the October 6 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: Carl Wenning, Physics Department, Illinois State University, 322 Moulton Hall, Normal, IL 61790-4560. FAX: 309-438-5413.
| Last update: October 6, 2003 |