Online Registration Form

Spring Meeting of the Illinois Section of AAPT
 April 8-9, 2005, Southern Illinois University Edwardsville, Edwardsville, 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  
K12 faculty registration free  
Student registration $ 5
Illinois section dues $ 5
Workshop W1.  Friday, 9:00 to noon
"Waves and Color - Mostly on the Cheap"		 You can only select one of these. $15
Workshop W2.  Friday, 8:00 to noon
"Photoelectric Effect"		 $10
Workshop W3.  Friday, 9:00 to noon
"Astronomy Inquiry Activities"		 free  

Note: The deadline for meal reservations was Friday, April 1.
Friday evening banquet *  The entree choices are rosemary chicken breasts, prime rib, or portabella mushroom stacks (low carb and vegetarian). 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 1 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 4, 2005

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