| Non-NYSTEA members--add $45.00 to registration amounts. Surcharge includes one full year membership in NYSTEA Members of NY Math or Science Assoc. should include proof of 2003-2004 membership in order to register at active member rates quoted above. Elementary I.T.E.A. membership affiliate rates apply. |
| PRINT THIS PAGE - COMPLETE AND MAIL TO: Mr. William Rock, 30 Frances Drive, Katonah, NY 10536 |
| NYSTEA CONFERENCE 2004 PRE-REGISTRATION FORM Conference web site: http://www.geocities.com/NYSTEAconf email: [email protected] |
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| Wednesday, March 31st through Friday, April 2nd, 2004 (no rain dates) |
| Make checks payable to: "NYSTEA Conference 2004" Personal checks only. No purchase orders will be accepted All pre-registrations MUST BE POSTMARKED no later than March 8, 2004 All registrations received after March 8th postmark will be processed at the door and surcharged the higher rate. No pre-registration refunds will be granted after March 22, 2004 |
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| Type of Registration Full Conference $80.00 ($90.00 after Mar. 8th) Wednesday only $40.00 ($50.00 after Mar. 8th) Thursday only $55.00 ($65.00 after Mar. 8th) Friday only $40.00 ($50.00 after Mar. 8th) -High School Student/parent registration--$5.00/day -Registered college student registration--no charge-must be full time and enrolled in an accredited under graduate Technology Teacher Ed. program -Retired NYSTEA members--full cost $30.00, day rate $15.00 |
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| NAME/ADDRESS* (please print) SCHOOL NAME/ADDRESS |
| PHONE |
| PHONE |
| ___________________________________ ___________________________________ ___________________________________ |
| ___________________________________ ___________________________________ ___________________________________ |
| ___________________________ |
| ___________________________ |
| ___________________________ |
| ___________________________ |
| Type of Registration:** |
| Current Membership Status (paid with proof of status): |
| Membership fee $________ |
| Late fee $________ |
| Check # ________ |
| Total Enclosed $________ |
| * home information will be used for conference communication only **registration fees do not include any meals |
| People registering as day conference attendees, and not staying as guests of the Sagamore, must make prior arrangements with Al Dybas and pay in advance for all conference meals. |
| Full ( $80.00) |
| Wed. only ($40.00) |
| Registration Fee $________ |
| Thurs. only ($55.00) |
| Fri. only ($40.00) |
| ____ NYSTEA (no fee) ____ Elementary ITEA (no fee) ____ NYMSA (no fee) ____ NYSTEA non-member ($45) |
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| "Technology Education- A Core Subject" |
