Regular Mail or FAX - Registration Form

Spring Meeting of the Illinois Section of AAPT, April 11-12, 2003, Knox College, Galesburg, 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   $ 15    
Student registration   $ 5  
Illinois section dues   $ 5  
Workshop  -  Friday, 9:00 to noon 
  W1. "Teaching Buoyancy and Optics Using Inquiry"
  free  
Workshop  -  Friday, 10:00 to noon
  W2. "Junk Box Wars"
  free  
Workshop  -  Saturday, 9:00 to 11:00
 W3. "Tycho: Enhancing Your Course with Web
 Technology".   This has been cancelled.
     
Workshop -  Saturday, 9:00 to noon
 W4. "Simple Experiments in Physics"
  free  
Friday evening banquet *   $ 11   

Buffet meal

Saturday noon box lunch *   $ 6  

Turkey, R. Beef, Ham, or PB & J 

Total fees        

* The meals are available only to those who have registered by the April 7 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:  Charles Schulz, Department of Physics, Knox College, Galesburg, IL 61401.  FAX: 309-341-7718 (cover page should specify Charles Schulz).

Last update: March 26, 2003

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