T 3 ● Teachers Teaching with TechnologyTMInternational T 3Conference Chicago (Rosemont), IL www.ti.com/t3 Co-Sponsored by MathTech January 22 - 24, 1999 A conference for all K-University educators interested in using Teachers Teaching with Technology is a trademark of Texas Instruments Incorporated
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REGISTRATION FORM One form per person, type or print clearly |
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Name _________________________ Nickname (for nametag) ___________________________ |
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◯ Home ◯ Institution Mailing Address __________________________________________________ | |||||||||||||||||||
City ______________________ State/Province __________________________ ZIP _______________ | |||||||||||||||||||
Work Ph ( )____________________ Home Ph ( )_________________ Fax ( )__________________ | |||||||||||||||||||
E-mail______________________ Institution Name __________________________ | |||||||||||||||||||
Grade Level ◯ K-5 ◯ 6-8 ◯ 9-12 ◯ 2 yr Col. ◯ 4 yr Col. ◯ Other _________ | |||||||||||||||||||
Early and Standard Registration only: Polo Shirt Size (Men's sizes only): ◯M ◯L ◯XL ◯XXL |
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PAYMENT INFORMATION |
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□ $80 Early Bird Registration By December 5, 1998 □$100 Standard Registration □$40 Pre-Service Teacher Registration □$50 Single Day Registration: Circle FRI or SAT On-site registration □$125 Checks payable to: Teachers Teaching with Technology and PO's must list names of registrants
OTHER INFORMATION
Please Describe:____________________________________________________________________
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HOTEL RESERVATIONS FORM TEACHERS TEACHING WITH TECHNOLOGY (T3) 1999 INTERNATIONAL CONFERENCE - JANUARY 22-24, 1999 |
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To reserve your room for the conference, call the phone number listed below or fill out this form and fax it to the hotel. Hyatt Regency O'Hare will fill up fast, so make your reservation now. Be sure to note the reservation deadline for the hotel is January 4, 1999. | ||||||||
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Reservations must be made by January 4, 1999
All reservations must be guaranteed by a major credit card or a deposit of one nights room rate.
Reservation changes or cancellations must by made by 4PM (Central Time) on the date of arrival to avoid a penalty of one night room rate. The Hyatt Regency O'Hare is this year's headquarters hotel. |
Name:________________________________________________________________________________________ | ||||||
Address:_____________________________________________________________________________________ | ||||||
City: ___________________ State: ________________ Zip: ________________ | ||||||
Phone: (_________) __________________________ | ||||||
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Total number of occupants: ______ Total number of rooms required: _____ | |
Names of other guests in room: _______________________________ | |
Arrival date: ___________________(Ck-in 3 pm) | |
Departure date:____________________(Ck-out 12 noon) | |
Handicapped accessible room: | ________ yes ________ no |
Smoking room: | ________ yes ________ no |
Guaranteed with credit card number: _______________________________ exp. date: ____________ | |
Save a copy of this form for your records |