ADVANCE REGISTRATION FORM
SE Region PRISM - T^3 Regional Conference
Friday, May 4 - Saturday, May 5, 2007 The Armstrong Center     13040 Abercorn Street     Savannah, GA 31419   [912-344-2555]
You can also print out and mail in this form if you perfer. Download as a Microsoft Word Document, or a PDF
Please type or print information requested. Use one form per person, even if payment for more than one person is enclosed. Check or money order payable to "AASU Professional & Continuing Education" (please put "PRISM-T3 Conference" in the memo section), school Purchase Order, or Credit Card information should accompany the Registration Form. Registration includes light continental breakfasts & lunches both days as well as an Exhibitors' Reception Friday afternoon. 90-100 sessions are planned.
Name Job Title Address Science or Mathematics? School District Grade Level(s) E-mail WorkPhone HomePhone Do you want to be enrolled in TI's VIP Program? Yes No
ON-SITE REGISTRATION WILL COST AN ADDITIONAL $10.
(Advance Registration Deadline: April 27, 2007) I will attend the conference Friday Saturday * PRIMARY SPEAKER Registration $0         I am in a SE Region PRISM school   Yes     No * SE Region PRISM Registration $0 * NON-SE Region PRISM Registration $70 * PRESERVICE STUDENT Registration (Univ. ID required.) - FREE!!! $0 * 8:00 a.m. - 3:45 p.m. Saturday ONE-DAY Algebra Institute (limited to 30 people) Add $15 Total Registration Cost   If confirming registration by school/system Purchase Order - send PO with registration. PO#   Registrations that are "FREE" may be faxed to (912) 344-3468 or emailed to: conted@mail.armstrong.edu   Registrations using credit cards may be faxed to Continuing Education @ (912) 344-3468
Return Registration Form to: PRISM - T^3 Regional Conference The Armstrong Center 13040 Abercorn Street Savannah, GA 31419
Questions?     Contact Jane T. Barnard   janebarnard@charter.net   or 314.645.5453