Summer Session 2001: Registration Form


	CED #07-05-110-001RH

Summer Session 2001:
Integrating Problem-Based Learning with Online Resources

June 18-22, 2001

Printable pdf payment form is available!

NAME (First) (Last)

HOME ADDRESS CITY, STATE, ZIP

HOME TELEPHONE WORK TELEPHONE

INSTITUTION

INSTITUTION ADDRESS CITY, STATE, ZIP

E-MAIL ADDRESS

FEES: HOW TO REGISTER:

Registration fee for the conference is $495 which

includes materials and refreshment breaks. Participants assume responsibility for living accommocation, all other meals, and transportation. BY MAIL -- Return this form to
ITUE Summer Session 2001
203B John M. Clayton Hall
University of Delaware
Newark, DE 19716-7410

METHOD OF PAYMENT: BY PHONE -- If you use your MasterCard,

Full payment is due with registration. VISA, or Discover, you can register by phone.

Have your credit card ready then, just dial

Check enclosed in U.S. dollars for $495
made payable to the University of Delaware (302) 831-1171
Hours: Mon.-Fri., 8:30am-5:00pm EST

Company purchase order enclosed in
U.S. dollars for $495 BY FAX -- Paying by credit card, purchase order, or government vouncher? FAX this form to

(302) 831-0701

Please charge $495 to my
MasterCard, VISA, Discover (Sorry, FAX cannot be used when paying by check.)

/ BY INTERNET -- You may find registration

CARD NO. / EXP. DATE

forms and instructions at

<www.udel.edu/inst/jun2001/registration.html>

AUTHORIZED SIGNATURE

Please duplicate form for additional registrations.

Deadline for payment is Friday, May 18, 2001.

Comments, suggestions, or requests to ud-itue@udel.edu.
"http://www.udel.edu/inst/jun2001/payment.html"
Last updated April 6, 2001.
© Univ. of Delaware, 2001.


NAME (First)		(Last)

HOME ADDRESS		CITY, STATE, ZIP

HOME TELEPHONE		WORK TELEPHONE

INSTITUTION

INSTITUTION ADDRESS		CITY, STATE, ZIP

E-MAIL ADDRESS

FEES:		HOW TO REGISTER:
Registration fee for the conference is $495 which
includes materials and refreshment breaks. Participants assume responsibility for living accommocation, all other meals, and transportation.		BY MAIL -- Return this form to ITUE Summer Session 2001 203B John M. Clayton Hall University of Delaware Newark, DE 19716-7410

METHOD OF PAYMENT:		BY PHONE -- If you use your MasterCard,
Full payment is due with registration.		VISA, or Discover, you can register by phone.
		Have your credit card ready then, just dial
	Check enclosed in U.S. dollars for $495 made payable to the University of Delaware	(302) 831-1171 Hours: Mon.-Fri., 8:30am-5:00pm EST

	Company purchase order enclosed in U.S. dollars for $495	BY FAX -- Paying by credit card, purchase order, or government vouncher? FAX this form to
		(302) 831-0701
	Please charge $495 to my MasterCard, VISA, Discover	(Sorry, FAX cannot be used when paying by check.)
	/	BY INTERNET -- You may find registration
	CARD NO. / EXP. DATE	forms and instructions at
		<www.udel.edu/inst/jun2001/registration.html>
	AUTHORIZED SIGNATURE
		Please duplicate form for additional registrations.