IAECT 2002 Conference 

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Registration Invoice

 

Please check the appropriate box:

    

IAECT Members o  $79.00     

           

Non-members  o $99.00*         

 * (for an additional $10.00, non-members may receive a 1 year IAECT membership)

        

Presenters o $64.00

      

Full-Time Students o $49.00  (with Department Chair signature)

 

  __________________________________________________

                               Department Chair signature

 

How to Register:

 

1.          Submit your registration and payment information by Fax 815-753-1258 (if using a PO, fax a copy and enter PO number above to confirm payment to come)

 

2.          OR by Surface Mail with payment and information to IAECT c/o Kay Phillips, The Learning Center, Northern IL Univ. DeKalb, IL 60115. 

 

3.          OR submit your registration and payment information by e-Mail to kphillips@niu.edu  (if you are using a PO, submit a copy and enter PO number above to confirm payment to come)

  

Please print clearly.

 

Last Name_____________________________FirstName_______________________

 

Institution/Organization__________________________________________________

Address_______________________________________________________________

 

City________________________State_______________Zip Code________________

 

Phone (H)_______________________________ (W) ___________________________

 

e-Mail_____________________________

 

Method of Payment:  please check appropriate box

 

o   Check   (payable to IAECT)

 

o   PO________________________________

                   Purchase Order Number

 

 

Amount Enclosed:  $___________________