2004 KATESOL Spring Conference Registration Form
(Free Friday evening program, March 12, included)
Hays,
Name:
______________________ Phone &
E-mail: _____________________
Address: ________________________________________________________
________________________________________________________
Position and
Institution: ____________________________________________
Registration Fees:
Fees include drinks/rolls during registration and meal at lunch.
____________ I would
like a vegetarian meal.
Join KATESOL! You can
pay KATESOL membership and conference fees for less
than a non-member
conference fee.
Pre-Registration Conference Fees
Non-member $60
KATESOL Member $40
KATESOL Membership Fees
Full-Time Educator $15
Student,
paraeducator, volunteer $ 7
Registration $_______________
Membership $_______________
Total Enclosed $_______________
Pre-Registration
Deadline: February 15, 2004
On site registration
You may write one check for both Conference and Membership. Make check payable to
KATESOL and mail with registration form to:
Bernie Altenhofen
Westwood School USD 475
1600 N. Eisenhower