Regular Mail or FAX - Registration Form

Spring Meeting of the Illinois Section of AAPT, April 5-6, 2002, Eastern Illinois University, Charleston, 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: _______________________________________________

The Student Research Symposium needs a few judges.  Could you help?  ______________________
Those who say "yes" will be contacted in advance with instructions.  Thank you.

Description Number Unit cost Amount Circle your choice
for the box lunch
Faculty registration   $ 12    
Student registration   $ 5  
Illinois section dues   $ 5  
Workshops W1-W4   -   Friday, 10:00 to noon 
  W1. "A Taste of the Modeling Method of Instruction in Physics"
  free  
  W2. "Lasers in the Classroom"    free  
  W3. "Inquiry Practice in High School Physics"   free  
  W4. "Bringing ANL Data to the Classroom"   free  
Workshop W5   -   Saturday, 10:00 to noon
 W5. "Tycho: Enhancing Your Course with Web Technology"
  free  
Friday evening banquet * (buffet of chicken breast, pork loin, and cheese lasagna)   $ 14   

Buffet meal

Saturday noon box lunch *   $ 6  

Turkey, Ham, or Vegetarian

Total fees        

* The meals are available only to those who have registered by the April 1 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:  Keith Andrew, Physics Department, Eastern Illinois University, Charleston, IL 61920.  FAX: 217-581-6613 (cover page should specify Keith Andrew)..

Last update: March 29, 2002

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