Texas Instrument’s T³ Regional Conference

June 30 and July 1, 2010

Reading Memorial High School

Registration Information:

Please register online at www.salemcollaborative.org

Registration is $40 per day, $75 for both days

Pre-service teachers’ registration – complimentary – must show College Identification.

TO VERIFY INFORMATION RECEIVED ON WEBSITE, PLEASE SUBMIT THE FOLLOWING WITH PAYMENT

Name (include title):

School District:

School Name:

Address (home or school):

City, State Zip:

Work Phone Number:

Cell Phone Number:

Email Address:

Wednesday Thursday Both

Registration Fee:

T-Shirt Size Adult: Small - Medium - Large - X-Large - XXLarge:

Special Dietary Needs: