MTEEA Fall Conference Registration Form 2017
Please complete this form to preregister for the MTEEA Fall Conference.

Payment Options:

(1)Mail a Check or PO by Friday Sept 22 to:

Mike Sandell
MTEEA Fall Conference Registration
460 Briar Lane
Taylors Falls, Mn 55084

(2) Bring a PO, check or credit card to pay at the conference. You may make the check or PO out to the Minnesota Technology and Engineering Educators Association.

(3) Pay using Pay Pal on the Fall conference web page.

For questions, please call Mike Sandell 651-468-8357. or email msandell@isd2144.org

Thanks very much!

Email address
Teacher first name:
Your answer
Teacher last name:
Your answer
Home Address
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Home City
Your answer
State
Home Zip Code
Your answer
Home Phone
Please use the form: xxx-xxx-xxxx
Your answer
Home Email Address
Your answer
School or Business Name
If you are not affilitated with a school or business (for example if you are retired) just enter NA for any of those questions.
Your answer
School or Business Address
Your answer
School or Business City
Your answer
School or Business State
School or Business Zip Code
Your answer
School or Business Phone
Please use the form: xxx-xxx-xxxx
Your answer
School or Business Email Address
Your answer
Affiliate:
Please select the affiliate organization you belong to.
Registration Options:
´╗┐Please note: All conference registrations include one year FREE MTEEA membership and Friday Awards Luncheon.
Type of Registration:
Conference meals for guests or extra tickets
If you need multiple tickets, please tell us that in the open comment box at the end of this form.
ITEEA Membership
Tours First Choice
Tours are scheduled for Friday morning. There is NO COST. However registration is limited so please indicate your FIRST CHOICE here.
Tours Second Choice
Tours are scheduled for Friday morning. There is NO COST. However registration is limited so please indicate your SECOND CHOICE here.
Total of All Items:
Please add the registration, extra meal tickets and ITEEA membership and enter the total in the space. This is the amount that you will bring with to the conference as a P.O., cash, check or credit card. Checks or Purchase Orders should be made out to the Minnesota Technology and Engineering Educators Association.
Your answer
Provide any additional comments that you think would be helpful.
Your answer
Payment Method
I will be paying by
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