SCMEA 2004 CONFERENCE REGISTRATION FORM
(please type or print clearly). Click here for PDF registration form

Name: _________________________________

Title/Occupation:______________________________________________________________

Mailing Address:

Organization:

Street/PO Box: ______________________________________________

_______________________________________________________________

City, State, Zip: __________________________ _____ _______________

Phone: (_____)_______ ____

Email:

Check if you:

___ Prefer vegetarian ___ Will eat oysters at the Oyster Roast ___ Will participate in Marine Meringue

Is this your first SCMEA Conference? If yes click here and check here: Yes.

SCMEA Membership - Join or Renew now.
___ 1 Yr $15 ___ 3 Yrs $40 ___ 5 Yrs $60

Conference Registration
Entire Conference (Friday - Sunday): $260 (double occupancy):

Non-registered guest ticket for Saturday Oyster Roast, Auction, DJ Party: $30

OE Workshop: $20

Total Registration Fee Submitted: $

Saturday SCMEA Field Trips (Pay for 1st choice only)
First Choice:

Second Choice:

Total Enclosed (dues, registration, workshop, tickets, field trips:$

Pay by check, 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