Registration Form

Spring Meeting of the Illinois Section of the AAPT
March 28-29, 2014 - Illinois Wesleyan University, Bloomington, Illinois
Note:  It is convenient to move from one box to the next with the Tab key.

IWU Observatory
First name   Last name  
Mailing address - line 1 
Mailing address - line 2 
City  State                                    ZIP code 
email 
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
**The Amount will be displayed after you click the Registration button.
Description   Cost **Amount
Faculty registration - Both days

Select one

$40  
Faculty registration - Friday $25  
Faculty registration - Saturday $15  
Student registration - Both days $10  
Student registration - Friday $7  
Student registration - Saturday $4  
Invited guest registration free  
Illinois section dues - Faculty (required for ISAAPT membership)

Dues Record

$20  
Illinois section dues - K-12 (required for ISAAPT membership) $10  

Check the appropriate boxes for meal reservations.

Friday evening buffet banquet * 

The meal
deadline is past.

  $21  
Saturday noon box lunch from Jimmy John's *   All come with a drink.   $10  
Paper receipt in my folder - select one:                            Full       Total (no itemization)       None  

Total fees 

 

* The meals are available only to those who have registered by Friday, March 21.  All registration fees are due the day of the meeting.  Checks should be made payable to ISAAPT.

Confirmation:   Please check this box so the data will be recorded.

                                                      

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Last update: March 24, 2014