Online Registration Form/Fall NCCEI 2010 Conference, New Bern, NC...CEI - North Carolina Conference of English Instructors

Name:

College:

College Address:

City, State, Zip:

E-mail:

Work Phone:

Home Phone:

Do you have leadership responsibilities in your department
(department head, lead teacher, coordinator, etc.)?

Your plan:

(Place an "X" in the field of each item you are requesting.)

$45.00 1st Time Attender Member Registration:
(October 25 & 26 luncheons included in registration fee)

$85.00 Member Registration:
(October 25 & 26 luncheons included in registration fee)

$85.00 Adjunct Registration:

$100.00 Nonmember Registration:

$50.00 Registration for one day only: (Registration includes luncheon.)

Monday, October 25...$50.00:

Tuesday, October 26...$50.00:

Add $5 Late registration fee (after September 23rd):

Tuesday, October 26th Luncheon Choices:

Vegan Meal:

Dijon-crusted Chicken:

Sirloin Bordelaise:

Conference Excursions - Check any that interest you:
(no commitment - just to help with planning)

Tryon Governor's Palace Tour:

Ghost Walk:

Total Room Cost is $109 plus tax single or double (Less than state rate!)

Pay by online PayPal payment option link or send registration payment to:

Deana St. Peter, NCCEI Treasurer
Guilford Technical Community College
Box 309
Jamestown, NC 27282

When paying by check: Make check payable to: NCCEI

STOP!!! Please print this page after you complete the form for your records
before you send/submit online registration form.

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