OCSEA SCIENCE & TECHNOLOGY CONFERENCE

            Saturday, November 15, 2008

8:15-4:00

CHAPMAN UNIVERSITY

Hashinger Science Center

Orange, CA


ON-LINE REGISTRATION FORM (below)

Information/Directions:

  1. Registration fee includes continental breakfast, lunch, workshops, vendors and opportunity drawing. 

  2. Deadline for pre-registration by mail or online is Nov. 7, 2008. 

  3. Fill in all information in the fields below (use NO commas please)

  4. Fees:  enter the fee amount based upon the table below.

  5. Make checks, money orders or district/school purchase orders payable to “OCSEA.”

  6. After submitting this on-line registration, send checks, money order by mail to the address below.

  7.   You will receive a confirmation by email within 2-3 days after submitting. If you do not receive a confirmation contact Dr. Yancey at sdyancey@beckman.com. (Note:  some school districts may block you from submitting forms from school computers--send this form from your home computer if this may be a problem.)

 

FEES:

On-site registrants should arrive 10 minutes early to complete the registration form.  Educators should check with school administrators for funding sources.

 

Please contact Dr. Yancey by email or phone with questions regarding registration or if you need to cancel. 

 NO refunds for no-shows.

714-733-8179

sdyancey@beckman.com

MAIL CHECK or MONEY ORDER (Payable to OCSEA) TO:

Dr. Stephanie D. Yancey

M/S  D-14-E

Beckman Coulter, Inc.

4300 N. Harbor Blvd.

Fullerton, CA   92835

 

Complete all fields and then click "Submit" (please double check your e-mail entry before submitting.)                                   

Mr.Ms.
First Name
Last Name
School Name or Affiliation
Home AddressSchool AddressOther
Street Address
City
State
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Phone Number
E-Mail
TeacherStudentBusinessOther
ElemMiddleHighna
$35$20$40$25
Check if using Purchase Order