NECTFL - = Conference Registration Form

Conference=20 Registration Form
2010 ~~2009=20~~ Northeast Conference on the Teaching of Foreign=20 Languages:
March 25 =96 27, 2010 ~~April 16=20 - 18, 2009,~~ Marriott Marquis Hotel, New York, = NY

Registration Deadline: = ~~March 9,=20 2009~~ March 1, 2010

PLEASE=20 NOTE:

Preregistration=20 will end midnight ~~3/9/09~~ 3/1/10. = If you are=20 not registered by ~~3/9/09~~ 3/1/10 , = please=20 plan to register on-site at the conference. On-site = fees=20 apply.

All=20 conference attendees, including presenters, must register for = the=20 conference.

To=20 register by fax or mail, download form here<= /A>=20 and follow instructions on the form. =

PURCHASE = ORDERS will=20 not be accepted as payment for conference=20 registration.

In=20 order to register at the discounted student rate, you must fax = or mail=20 hard copy registration form with = proper=20 documentation by ~~3/9/09~~ 3/1/10. = (Download=20 pdf here<= /A>.)=20

3=20 and/or 6 hr workshops incur a fee in = addition to the=20 registration fee. No changes to workshop choices will be made = after=20 ~~3/9/09~~ =20 3/1/10.

ALL=20 FEES ARE NON-REFUNDABLE.

Registration=20 materials, including Conference Program and badges, will be = distributed=20 on-site at the conference. Please see our website at http://www.nectfl.org/=20 for updates and the conference schedule. =

ADA=20 requests must be received by 3/9/09 3/1/10. = Please=20 email nectfl@dickinson.edu=20 with ADA requests.

In=20 registering for the conference, you give NECTFL permission to = use in its=20 publications any photograph taken of you during the=20 conference.

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REGISTRATION=20 INFORMATION
Check=20 this box if this is your first NECTFL = Conference=20 □ Check here if = you are=20 bringing a first-time attendee (that persons = name:=20 _____________________________)

First:

Last:=20

Home=20 Address 1:

Home=20 Address 2:

City,=20 State, Zip:

Country:=20

Home=20 Phone:

Work=20 Phone:

Fax:=20

E-mail:=20

Language(s)=20 Taught:

Elementary=20

High=20 School

College=20

Middle/Jr.=20 High

Community=20 College

Gov/Adult=20

Teacher=20

Administrator=20

Dept=20 Chair

Methods=20 Instr.

Researcher=20

Other=20

BADGE=20 INFORMATION

Affiliation:=20

Affiliation=20 City:

State:

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REGISTRATION=20 -- MUST BE PAID BY ALL CONFERENCE PARTICIPANTS=20 = (On-site=20 fees)

Regular=20 registration (covers Fri & Sat events, sessions & = exhibit=20 areas entry -- no 3- or 6-hour workshops)

$~~150.00~~ = 175.00=20

~~Saturday=20 Only (There is no Friday only category and no Thursday or = Friday=20 workshops with Saturday only registration)~~Delete line =

~~85.00~~

3-=20 AND 6-HOUR WORKSHOPS -- WORKSHOP FEES ARE IN ADDITION TO THE = ABOVE=20 REGULAR PREREGISTRATION FEES
Indicate = workshop=20 choice(s) by selecting your choices=20 below=20

3-HOUR=20 WORKSHOPS

1st=20 choice

2nd=20 choice

Thursday=20 Morning 9am-12pm