Registration Form: Mid-South Instructional Technology Conference

Eighth Annual
Mid-South Instructional Technology Conference
Teaching, Learning, & Technology
The Challenge Continues
March 30-April 1, 2003

Registration Form

If paying by credit card, use the secure credit card registration process or print the registration form (PDF) for mailing
One registration per form.
Early Bird discount registration and payment due by March 14: $95
Pre-conference registration and payment due by March 14: $50
Regular registration and payment due from March 15-28: $110
Late and on-site registration: $150 (all registrations and payments received after March 28)
Hotel reservations should be made directly through the hotel by February 28, 2003.

Registration Information

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

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

Transportation

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

Pre-conference Workshops

Check below all pre-conference workshops you plan to attend.

None
Technology Tools for Displaying Mathematics and Graphics
What's New in PowerPoint 2002
Using Dreamweaver MX to Create Interactive Instruction for Beginners

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, March 30, at the Garden Plaza Hotel
Lunch Monday, March 31, on the MTSU campus
Banquet Monday evening, March 31, at the Garden Plaza Hotel
Lunch Tuesday, April 1, on the MTSU campus
None

Early Bird registration and payment due by March 14: $95
Pre-conference registration and payment due by March 14: $50
Regular registration and payment due from March 15-28: $110
Late and on-site registration: $150 (all registrations and payments
received after March 28)

Purchase Order No.
Check (made payable to Middle Tennessee State University)

For credit card payment, use the secure credit card registration site or print a credit card form (PDF) and mail to the address listed below.

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 14 for Early Bird registration.

We will begin mailing confirmations and registration packets in mid-February, 2003.

Mail

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

Information Technology Division
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 14, 2003, will receive a full refund.

No refunds after March 14.

Sign-Up for Workshops

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

Sunday, March 30, 5-8 p.m. at Garden Plaza Hotel
Monday, March 31, & Tuesday, April 1, beginning at 7:00 a.m. at MTSU's Keathley University Center

[Mid-South Instructional Technology Conference]

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