SCIENCE AND TECHNOLOGY
CONFERENCE 2008

7:30 am - 4:00 pm Saturday, November 15, 2008


Chapman University Science Center
Orange , California

Registration fee includes continental breakfast, lunch, workshops,
materials, and membership in OCSEA for one year.

Please use the print version of the registration form if you do not have an email
address. Go to the Home page and click on the button "Printed Registration Form."

 

All Fields with a star (*) are required. The form will not be completed

until all the required fields are correctly filled in.

OCSEA Fall Conference On-Line Registration
Mr. / Ms. :
 
First Name* :
 
Last Name * :
 
School Name *
  

Address :
School Address:
Home Address

City :
  
State :
  
Zip code :
 
Phone Number :
  
E-mail Address *
  
Teacher / Student / Industry (Specify) * :
 

Grade Level:
(Teacher / Student Teacher)

 
Registration Fee:
$35.00 (Teacher) / $20.00 Student or
Student Teacher

Late Registration Fee:
On-Site Registration

Please Check Box if Purchase Order Has Been Submitted to the School or District for Payment

Please allow 60 seconds for the form to process completely.

Once you submit your Registration Form, you will receive a
confirmation by return e-mail. Please keep a copy for your records.

Please sign the registration confirmation form if a purchase requisition has been
submitted to your school or district for payment and return it to the address below.

Deadline for pre-registration by mail or online is Nov. 1, 2008.  
Make checks, money orders or district/school purchase orders payable to “OCSEA." 
To register on site, please add $5 to your fee.  On-site registrants should arrive 10 minutes
early to complete the registration form.  Educators should check with school administrators
for funding sources.   

Dr. Stephanie Yancey
Beckman Coulter, Inc.
M/S D-14-E
4300 N. Harbor Blvd.
Fullerton , CA 92835-1091

Dr. Yancey can be reached at sdyancey@beckman.com or 714-773-8179.