Technology Education and Communication Conference (TECC) 2010
Registration Form October 9, 2010

Registration:

$75.00 - Individual Rate (For a group of 4 or more
from the same district, there will be a 10% discount.)
$25 - Presenters
$10 - SHSU Faculty and SHSU Students (with Sam ID)

*Payment at door on day of Conference will be CASH OR MONEY ORDER ONLY*

(No lunch guaranteed for registration after 9/24/10)

Personal Information

* First Name
* Last Name
* City/State
* Zip
* School/Institution
Sam ID # (if applicable)
         If paying the discounted amount, this field must be completed.
* Phone Number
Fax Number
E-Mail Address
What grade do you teach?
In which District do you teach?
What technology are you currently using in your classroom?
Are you interested in pursuing a Masters in Instructional Technology at SHSU?
Are you interested in pursing a Doctorate in Instructional Technology at SHSU?
   

Payment Type

Check or Money Order
 
Purchase Order
  PO #:
 
Credit Card
   
   
!  By registering for the conference, you hereby give permission for
your image to be used on our website and for advertising purposes.
   
 
   

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