Online Registration Form

Fall Meeting of the Illinois Section of AAPT
October 24-25, 1997
Lewis and Clark Community College
Godfrey, Illinois

NAME (Last, First):
Street Address:
City: State:
Zip Code:
Telephone: Ext:
EMAIL:

Institution Name (for nametag):
Primary Affiliation:

ISAAPT Dues (not required of SPS/TYC21/StLAPT members) @ $5 =$
Student Registration @ $1 =$
Facuity Registration (Both Days) @ $15 =$
Faculty Registration (Saturday Only) @ $8 =$
Light Buffet on Friday Evening @ $10 =$
Luncheon on Saturday @ $7 =$
Luncheon Preference:

All Registration Funds are due the day of the meeting. Checks should be made payable to ISAAPT.

I will do a "Take Five" Presentation on:

Since the meeting has occurred, this form has been deactivated.
Last Updated: 13 October 1997
Bill Weiler
Office of Learning Technologies
Box 1125, SIUE