Online Registration Form

Spring Meeting of the Illinois Section of AAPT
April 16-17, 1999
Joliet West High School
401 N. Larkin Avenue
Joliet, Illinois 60435

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 will do a "Take Five" presentation:

Registration Fees *Note: Please use* *integers* *and do* *not* *put dollar signs inside any of the boxes.*
Description	Number	Unit cost	Amount
Faculty registration		$15
Student registration		$5
ISAAPT dues		$5
Tour of Argonne National Laboratory		free
"Make and Take" workshop (limit 20)		$20
Friday evening banquet		$10
Total fees

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.

Program chair: Ann Brandon - llbrandon@aol.com, (815) 727-6950
Webmaster: David Renneke - phrenneke@augustana.edu, (309) 794-3403
Last update: March 25, 1999