Registration Form: Mid-South Instructional Technology Conference

Seventh Annual
Mid-South Instructional Technology Conference
Teaching, Learning, & Technology
The Connected Classroom
April 7-9, 2002

Registration Form

If paying by credit card, print the registration form (PDF) for mailing
One registration per form.
Pre-register by March 22, 2002: $95
Late Registration Fee (after March 22): $110
Hotel reservations should be made directly through the hotel by March 9, 2002.

Registration Information

First Name:
Last Name:
Title:
Organization:
Address:

City:
State:
Country:
ZIP/Postal code:
E-mail:
Phone:
Fax:
URL:

Transportation

Check here if you will need transportation between Garden Plaza and MTSU. Shuttle service is available between these locations only.

Meals and Special Events

Check below all meals and events that you plan to attend. To keep conference cost to a minimum, please check ONLY the meals and events that you plan to attend.

Reception Sunday evening, April 7, at the Garden Plaza Hotel
Lunch Monday, April 8, on the MTSU campus
Banquet Monday evening, April 8, at the Garden Plaza Hotel
Lunch Tuesday, April 9, on the MTSU campus
None

Payment - Due by March 22, 2002

Purchase Order
Check (made payable to Middle Tennessee State University)

If paying by credit card, print this form (PDF) and mail/fax it to the address/fax number indicated on the form.

Form Submission

Electronic

This form may be electronically submitted if paying by PO or check. Please complete registration process by mailing PO or check to the MAIL address below by March 22.

We will begin mailing registration packets in mid-February, 2002.

Mail

Mail PO, check, or credit card form (PDF) to the address below:

Office of Information Technology
Attn: ITCONF
Cope 003
Middle Tennessee State University
Murfreesboro, TN 37132

Fax

Credit card forms (PDF) can be faxed to the following number:

(615) 898-5720

Cancellation/Refund Policy

All cancellations must be submitted in writing to the address on this form. Cancellations postmarked by March 22, 2002, will receive a full refund.

No refunds after March 22.

Sign-Up for Workshops

Sign-up for workshops will be on a first-come, first-served basis at the conference registration desk:

Sunday, April 7, 5-8 p.m. at Garden Plaza Hotel
Monday, April 8, & Tuesday, April 9, beginning at 7:00 a.m. at MTSU's Keathley University Center

[Mid-South Instructional Technology Conference]

For internal use only---> Date rec'd________ Entered________Check No._______Amt Rec'd________