SCMEA 2002 CONFERENCE REGISTRATION FORM

SCMEA 2002 CONFERENCE REGISTRATION FORM

Name _________________________________________

Title or Occupation/Organization_____________________

Home Address___________________________________

Work Address___________________________________

Phone (h/w)/E-mail________________________________

Check if you:

__ Prefer vegetarian meals __ Will eat oyster at the Oyster Roast __ Will participate in Marine Meringue

SCMEA Membership – Join or Renew now and save on conference registration!

__ 1 Year $15.00 ___ 3 Years $40.00 ___ 5 Years $60.00

Conference Registration

Entire Conference (Friday – Sunday) __$125 (member) __$135 (non-member)

Room at Penn Center ___yes $40.00/night

Roommate preference______________________________

No room at Penn Center required ___

Extras:

Friday Wine and Cheese and Dinner (additional guest ticket) $10.00

Saturday Oyster Roast and DJ Party (additional guest ticket) $ 25.00

Saturday SCMEA Field Trips (Pay for first choice only)

First Choice _________________________________

Second Choice _______________________________

Total Enclosed __________________

Pay by check or credit card (Visa or MasterCard only).

Card #/Expiration Date _____________________________

Signature _______________________________________

Please send completed form and check (payable to SCMEA) for all fees to:

Phil Astwood, Center for Science Education

University of South Carolina

Columbia, SC 29208