Registration Form

2003 AVLN Conference Registration

If you have any questions, please contact Colin Hill or Shirley Freed.

Note: The first 50 Registrants will receive a beautiful padded portfolio!

* Enter information as you would like it on your name tag.

*Full Name:

*Title:

Place of Employment:

*Grade Level Taught:

K-3 4-5 6-8 9-12 Higher Ed Other

*Subject/Area Taught:

Contact Information:

Phone: Fax:

Very Important!! Email:

Your email address submitted here will be used to give you updates on the conference. So be sure you typed it correctly!

Website (if you have one):

Home Address:

Street:

City: Province/State: Zip Code:

School Address:

Street:

City: Province/State: Zip Code:

Type of Registration:

Regular Registration U.S. resident and International US$200
Regular Registration CDN resident CDN$350
Regular Canadian Union K12 Teacher CDN$60
Regular Canadian University College Faculty CDN$60

Note: Tickets to the banquet for un-registered guests are available. Call 403-782-3381 ext. 4021 to arrange the details.

Total to be Paid:

CREDIT CARDS. Credit card requests may be phoned to Amanda Godin at (403) 782-3381 Ext 4021. International payments first will be charged in CAN$ and processed through the credit card system. The US$ amount might vary slightly from the $200 fee, because of that process. Kindly indicate on your registration form (in the comments below) that you are processing payment in this manner.

Please mail your check for the registration fee to the indicated location:

Canadian Registration
Make checks out to:
AVLN - Canadian University College
c/o Colin Hill
CUC Computer Services
235 College Avenue
Lacombe, Alberta
T4L 2E5 Canada

U.S. and International Registration
AVLN
5421 Covey Court
Lincoln
NE 68516-1876

Additional comments or questions:

Thank you!