REGISTRATION
Wisconsin Association of Physics Teachers
2001 Annual Meeting
University of Wisconsin - Stevens Point
October 26 - 27, 2001
| Name: | _____________________________________________________ | |
| Address: | _____________________________________________________ | |
| _____________________________________________________ | ||
| Affiliation: | _____________________________________________________ | |
| Home telephone: | __________________ |
Office telephone: __________________ |
| Fax: | __________________ |
E-mail address: ___________________________ |
Check here if you are a student: ___
WORKSHOPS -- Clear here for descriptions of the six workshops (W1 through W6) listed in the table below. Workshops will be filled in the order in which registration forms are received.
| WAPT dues1 | ___ x $ 5.00 = $ ______ |
WORKSHOPS |
|
| Registration fee1 | ___ x $ 5.00 = $ ______ | W1 | ___ x $10.00 = $ ______ |
| Friday night banquet2 | ___ x $15.00 = $ ______ | W2 | ___ x $27.00 = $ ______ |
| ___ Prime rib | W3 | ___ x $10.00 = $ ______ | |
| ___ Herb-encrusted salmon | W4 | ___ x $ 7.00 = $ ______ | |
| ___ Vegetarian lasagna | W5 | ___ x $ 7.00 = $ ______ | |
| Saturday luncheon | ___ x $ 9.50 = $ ______ | W6 | ___ x $ 7.00 = $ ______ |
|
[1] Total dues, registration fee, and meals: $ ______ |
[2] Workshop total: $ ______ |
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TOTAL FOR [1] and [2]: $ ________ |
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1Dues and registration fees are waived for any student attending the WAPT
Annual Meeting.
2Banquet fees are waived for any student presenting a paper (poster or
oral) at this meeting.
Please return this form with your check made payable to University of Wisconsin
- Stevens Point by October 12, 2001, to:
Nancy Stokosa, Program Assistant
Dept. of Physics & Astronomy
University of Wisconsin - Stevens Point
Stevens Point, WI 54481