Fill in the form below, write a check for $10.00 payable to CEI, and mail a copy of this form to

Dixon Boyles
Beaufort County Community College
5337 Hwy. 264 East
PO Box 1069
Washington, NC 27889
Phone: 252-940-6223

Name________________________________

College_______________________________

E-mail/telephone number_______________________________

Registration includes lunch.

Conference Cost:

____ $10.00

(Become a member today. Full-time faculty can join CEI for $15.00 per year. Adjunct faculty can join for free!)

Please register by April 16, 2004. We are scheduled to meet in Building 10. Look for signs for parking directions.