Southeastern Association for Science Teacher Education (SASTE)

Registration

Name:___________________________________________________________

School or University:________________________________________________

Position:_________________________________________________________

Address:_________________________________________________________

City:_____________________________________________________________

State:____________________________________________________________

Zip code:_________________________________________________________

Office phone:______________________________________________________

Email:___________________________________________________________

Registration: Includes year membership to SASTE

Luncheon option (please check one of the two options):

Chicken
Vegetarian

Registration before September 23rd

Faculty and District Administrators $45
Student and K-12 teachers $25

Registration after September 23rd:

Faculty and District Administrators $55
Student and K-12 teachers $30

Please indicate attendance at the Saturday Evening Farewell Reception:

Yes, I will attend
No, I am unable to attend

Send registration fee (Check made out to SASTE) and registration form to:

Thomas Koballa
University of Georgia
College of Education
Department of Mathematics and Science Education
212 Aderhold Hall
Athens, Georgia 30602