Regular Mail or FAX - Registration Form

Spring Meeting of the Illinois Section of AAPT
April 24-25, 1998
Knox College
Galesburg, Illinois

Name:  ________________________________________________________________

Address 1:  _____________________________________________________________

Address 2:  _____________________________________________________________

City, State ZIP: __________________________________________________________

Telephone: (______)_______________ Ext.__________ FAX: (______)_____________

E-mail:  ________________________________________________________________

Institution (to appear on your name tag):  _______________________________________

Registration Fees

Description Number Unit cost Amount
ISAAPT dues  
$ 5
 
Student registration  
$ 3
 
Faculty registration  
$ 13
  
Friday evening banquet*  
$ 15
  
Total fees
----
----
  

*The Friday banquet is available only to those who have registered by April 20 deadline.

Please make your check payable to ISAAPT and include it with the registration sent via US Mail.  If registering by FAX or online, registration amount will be due upon arrival.

I will do a "Take Five" presentation on _____ Friday afternoon, _____ Saturday morning.

Please return this registration form to:

Charles Schulz
Department of Physics
Knox College
Galesburg, IL 61401 Last update: April 17, 1998