CAMT 2013 Registration Form

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CAMT 2013 Registration Form Unlocking the Mathematical Mind Unlocking the Mathematical Mind Registration Confirmation A registration receipt will be mailed to you during the month of June. If you do not receive a copy of your receipt, please contact the CAMT office; we may not have received your registration materials from your school. Name Tag A name tag will be mailed to your home address in late June. The name tag is your ticket of admission to the conference. You will not be granted admittance to the conference without your name tag. Cancellations/Refunds/Transfer of Registration If you register in advance and cancel by June 1, half the registration fee will be returned. No refunds will be returned after June 1 regardless of the reason for cancelling. However, registration may be transferred to another participant. If transfer is made by June 1, 2013, you may contact the CAMT office by email or phone with the original participant’s name and the new participant’s name, home address, and email address. After June 1, transfer can only be made by giving the original participant’s mailed name tag to the new participant. Special Needs Attendees with special needs as defined by ADA should send requests by fax to (512) 355-8517 or by email to [email protected]. To ensure that your request is fulfilled, please contact us before June 10, 2013. DEADLINE: MAY 15, After May 15 – Register when you arrive at the conference. If you would like to pay by credit card, register online at www.camtonline.org/participants (no form needed). Use this form if not registering online. Mail registration form with check to: CAMT Registration | P.O. Box 200669 | Austin, TX 78720-0669 Please type or print clearly (for name tag) Name: Middle Initial(s) Number and street Apt. number Last First Home Address: Zip Code Email Address ( ) Cell Phone ( ) Home Phone City Contact: District or Professional Affiliation ESC State Affiliation: Teaching Level K-2 3-5 6-8 9-12 College I am willing to volunteer at CAMT 10 th AM 9 th PM 10 th PM 11 th AM 11 th PM 12 th AM 12 th PM CAMT Conference (July 10-12) Advance Registration Fee $145 (must be postmarked by May 15 for this discount fee) (After May 15 you must register at the conference and pay $205.) Please check your registration selection below. (Choose one only.) Administrators’ Conference (July 10) (includes CAMT conference on July 11-12) Advance Registration Fee $250 (must be postmarked by May 15 for this discount fee) (After May 15 you must register at the conference and pay $350.) Amount Enclosed Check or money order payable to CAMT must accompany this registration form. No purchase orders or credit cards accepted with this form. CAMT | P.O. Box 200669 | Austin, TX 78720-0669 ph# 512-335-2268 [email protected] www.camtonline.org Information and Instructions for district finance offices can be found on our website.

Transcript of CAMT 2013 Registration Form

CAMT 2013 Registration FormUnlocking the Mathematical MindUnlocking the Mathematical Mind

Registration ConfirmationA registration receipt will be mailed to you during the month of June. If you do not receive a copy of your receipt, please contact the CAMT office; we may not have received your registration materials from your school.

Name Tag A name tag will be mailed to your home address in late June. The name tag is your ticket of admission to the conference. You will not be granted admittance to the conference without your name tag.

Cancellations/Refunds/Transfer of RegistrationIf you register in advance and cancel by June 1, half the registration fee will be returned. No refunds will be returned after June 1 regardless of the reason for cancelling. However, registration may be transferred to another participant. If transfer is made by June 1, 2013, you may contact the CAMT office by email or phone with the original participant’s name and the new participant’s name, home address, and email address. After June 1, transfer can only be made by giving the original participant’s mailed name tag to the new participant.

Special Needs Attendees with special needs as defined by ADA should send requests by fax to (512) 355-8517 or by email to [email protected]. To ensure that your request is fulfilled, please contact us before June 10, 2013.

DEADLINE: MAY 15, After May 15 – Register when you arrive at the conference. If you would like to pay by credit card, register online at www.camtonline.org/participants (no form needed). Use this form if not registering online.Mail registration form with check to: CAMT Registration | P.O. Box 200669 | Austin, TX 78720-0669Please type or print clearly (for name tag)

Name:

Middle Initial(s)

Number and street Apt. number

LastFirst Home

Address:

Zip Code

Email Address

( )Cell Phone

( )Home Phone

CityContact:

District or Professional Affiliation ESC

State

Affiliation:

Teaching Level K-2 3-5 6-8 9-12 College I am willing to

volunteer at CAMT10th AM

9th PM

10th PM

11th AM

11th PM

12th AM

12th PM

CAMT Conference (July 10-12) Advance Registration Fee $145 (must be postmarked by May 15 for this discount fee) (After May 15 you must register at the conference and pay $205.)

Please check your registration selection below. (Choose one only.)

Administrators’ Conference (July 10) (includes CAMT conference on July 11-12) Advance Registration Fee $250 (must be postmarked by May 15 for this discount fee) (After May 15 you must register at the conference and pay $350.)

Amount Enclosed

Check or money order payable to CAMT must accompany this registration form.No purchase orders or credit cards accepted with this form.

CAMT | P.O. Box 200669 | Austin, TX 78720-0669 ph# 512-335-2268 [email protected] www.camtonline.org

Information and Instructions for district finance offices can be found on our website.