Registration Form - Regular Mail
Spring Meeting of the Illinois Section of the AAPT
March 30-31, 2007 - Western Illinois University, Macomb, 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" on ___ Friday afternoon,  ___ Saturday morning, ___ either day.

The title of my Take Five presentation is: __________________________________________________

I will be bringing an item for WITHIT (What in the heck is it?) on ___ Friday, ___ Saturday, ___ either day.

The Student Research Symposium needs a few judges.  Could you help?     ________
Description No. Unit cost Amount
Faculty registration   $25  
K12 faculty registration   $12  
Student registration   $ 5  
Illinois section dues   $ 5  

Please indicate if you wish to register for a workshop.
Note:  They run concurrently so you can only register for one of them.
Workshop W1. Observational Astronomy Simulations in the Instructional Laboratory
                        Friday 10:00 am - noon		      
Workshop W2. Robotics in the College and High School Classrooms, Part Two
                        Friday 10:30 am - noon		      
Workshop W3. Cracker barrel: "Recruiting Physics and Engineering Majors" - Friday 10:30-noon      
* Friday evening buffet banquet.  The entrees are chicken marsala and vegetable lasagna.   $17  
* Saturday noon lunch. Circle your choice of sandwich (turkey, ham, or veggie) and bread (wheat or white).  The lunch includes a bag of chips, fruit, a cookie or granola bar, and a beverage.   $ 6  

Total fees

  

* The meals are available only to those who have registered by the March 23 deadline.  Please make your check payable to ISAAPT and include it with this registration form sent via US Mail.  If registering online, the registration amount will be due upon arrival.  Please return this registration form to:  Brian Davies, Department of Physics, Western Illinois University, Macomb, Illinois 61455.  Phone: 309-298-1307.

Last update:  February 23, 2007

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