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SCMEA 2001 Conference Registration Form
To register, please print out and send the
completed form and check (payable to SCMEA) for all fees to: Phil Astwood, Center for Science Education, University of South Carolina, Columbia, SC 29208Name:______________________________________________________________________
Title or Occupation: ____________________________________________________________
Organization: _________________________________________________________________
Home Address:________________________________________________________________
Work Address:________________________________________________________________
Phone: (h)_______________ (w)__________________ Email:___________________________
Check if you:
___ prefer vegetarian meals
___ will eat oysters at the oyster roast
___ will participate in Marine Meringue
SCMEA MEMBERSHIP - join or renew now and save on registrationSCMEA __ 1 year ($10) __3 year ($25) __5 year ($40) |
$ _____________ |
CONFERENCE REGISTRATION Entire Conference (Fri-Sun) __$120 (member) __ $130 (non-member) |
$ _____________ |
Friday dinner and evening at the SC Aquarium (additional guest ticket) $55 |
$ _____________ |
Saturday oyster roast and DJ party (additional guest ticket) $25 |
$ _____________ |
FIELD TRIPS Thursday Field Trip (pay for 1st choice only) First Choice_________________________________ Second Choice_______________________________ Sunday Field Trip (pay for 1st choice only) $ First Choice__________________________________ Second Choice________________________________ |
$ _____________ |
TOTAL ENCLOSED |
$ _____________ |
Pay by check (payable to SCMEA) or credit card (Visa or Master Card only). Card #/Expiration Date: ______________________________________________ Signature _______________________________________ |