Texas Instrument’s T³ Regional Conference

June 28 and 29, 2007

Lynnfield High School

Registration Information:

Please Register Online at www.salemcollaborative.org

Registration is $40 per day for collaborative members, $75 for both days and $60 per day for non-collaborative members, $100 for both days. Make checks out to CPMSIE and mail to Jim Kearns, 47 Harvard Street #B 102, Charlestown, MA 02129 within 10 days of your registration.

Pre-service teachers’ registration – complimentary – must show College Identification.

TO VERIFY INFORMATION RECEIVED ON WEBSITE, PLEASE SUBMIT THE FOLLOWING WITH PAYMENT

Please fill in all spaces.  Print Clearly!

Name (include title):

School District:

School Name:

Address (home or school):

City, State Zip:

Work Phone Number:

Cell Phone Number:

Email Address:

Thursday Friday Both

Registration Fee:

T-Shirt Size Adult: Small - Medium - Large - X-Large - XXLarge:

Special Dietary Needs: