Online Registration Form

Spring Meeting of the Illinois Section of AAPT
April 23-24, 2004, University of Illinois, Urbana-Champaign, Illinois
Note: Please do not put commas inside any of the boxes.
First name   Last name  
Mailing address - line 1 
Mailing address - line 2 
City  State   ZIP code 
 

Note: Include the area code; use hyphens.
Telephone   Ext   FAX 
E-mail 
Institution (to appear on your name tag)  
 
I would like to do a "Take Five" (e.g. a new demo, announcement,..)  
Title for my Take Five  
The Student Research Symposium needs a few judges.  Could you help? 
Those who say "yes" will be contacted in advance with instructions.  Thank you.
Registration Fees
Note: Please do not put dollar signs inside any of the boxes.
Description No. Unit cost Amount Food Choices
Faculty registration $ 18  
Student registration $ 5
Illinois section dues $ 5
Workshop W1.  Friday, 10:30 to noon
"Using Classroom Electronic Polling Systems to Increase Student Engagement"		 You can only select one of these.  free  
Workshop W2.  Friday, 10:30 to noon
"Tycho: Enhancing Your Course with Web Technology"		 free  
Workshop W3.  Friday, 10:30 to noon
"Polarization and Refraction: Lab Experiences for the Introductory Course"		 free  
Workshop W4.  Friday, 10:30 to noon
"Simple Experiments in Physics"		 free  
Friday evening banquet *  The entree choices are chicken marsala, steak diane, and goat cheese filled portabella mushroom cap. The deadline for meal
reservations is past.
Saturday noon box lunch *  The sandwich choices are turkey, ham, roast beef, and veggie.
Total fees  
* The meals are available only to those who have registered by the April 16 deadline.  All registration fees are due the day of the meeting. Checks should be made payable to ISAAPT.
Depending on your Internet connection and how busy the Web server is, there may be a short delay after you click on "Send Registration Now" and before you receive the automatic acknowledgement.
    

Webmaster: David Renneke - phrenneke@augustana.edu, (309) 794-3403
Last update: April 19, 2004

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