SCMEA 2003 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) __$140 (non-member)

Extras:

Non-registered guest ticket for Friday Wine and Cheese:  $6.00

Non-registered guest ticket for Saturday Oyster Roast, Auction, and DJ Party:  $ 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