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Please! Type or print CLEARLY (click here for the Word version)
 
Name:
Organization:
Mailing Address:
City:   State:   Zip Code:
Phone:   Fax:   E-Mail:
Plan your day!
     I plan to attend:
Morning Plenary Session      
Morning Workshops        
Noon Plenary        
Afternoon Workshops        
Afternoon Plenary        
     Please check all that you plan to attend.
Workshop Choices:
Please click (or circle) your choices for the Morning Workshops
First Choice A B C D  
Second Choice A B C D  
Please click (or circle) your choices for the Afternoon Workshops
First Choice E F G H  
Second Choice E F G H  
Registration Fee $50.00
Registration fee is waived for participants affiliated with the University of Pennsylvania, students, and presenters.
Continental breakfast, buffet lunch, and afternoon snack are included in the registration fee.
Please make checks payable to "Trustees of the University of Pennsylvania"
Checks will be accepted at the time of the event, but please register as early as possible.
Mail Registration and Payment to:
Weingarten Learning Resources Center
3702 Spruce Street, Suite 300
Philadelphia, PA 19104-6027
ATTN: Symposium Chair
Fax: 215-746-6326