PRESENTER APPLICATION / REGISTRATION FORM -- ICTE Tallahassee

To submit a proposal to present at ICTE Tallahassee, please print out this form using the Print command, or the File / Print command, from your browser while the form is displayed, fill it out, and then mail or FAX this completed form to the address or FAX number listed below, along with your 150 word abstract of your presentation (see Call for Papers).  If you mail the Presenter Application / Registration Form, please do so in time for it to arrive by January 16, 2001. Do not mail the Presenter Application / Registration Form unless you are sure it will arrive by this date; if in doubt, please FAX the form to the FAX number below.  Any questions regarding this application should be directed to the Conference Secretariat Office at +1-972-641-0504 or by FAX to +1-972-641-0792, or by e-mail to icte@icte.org.

(This form is to be used by those applying to present a paper at the Conference only. Those wishing to register to attend the Conference as delegates should print out and complete the Regular Conference Registration Form, located elsewhere on this web site.  Persons who have attended a past ICTE Conference will receive a Registration Package in the mail in mid-October.  You may request a registration package for ICTE Tallahassee from the Conference Secretariat Office at +1-972-641-0504 or by FAX to +1-972-641-0792, or by e-mail to icte@icte.org.)

Please complete this form in BLOCK CAPITAL LETTERS:

Name ____________________________________________________________________________

Position / Title _____________________________________________________________________

Organization ______________________________________________________________________

Address _________________________________________________________________________

Address _________________________________________________________________________

City _____________________________________  State-Province __________________________

Country ________________________________________  Postal Code _____________________

Phone (Include Country Codes) ___________________________  FAX ______________________

e-mail _____________________________________

Proposal Title: ___________________________________________________________________

Theme No. / Preference (see theme list): ______________________________________________

List 5 keywords that describe your theme:

_______________________________________________________________________________

Special Note:  MS-DOS / Windows computers, overhead projectors, 35 mm slide projectors and videocassette players and monitors (NTSC standard) will be available to presenters.  Several presentation rooms will have overhead projectors and slide projectors only; please indicate if this is an acceptable option, or indicate if you require no equipment. Although we may have additional resources at the time of the Conference, at the present time no other equipment commitment can be made by ICTE or Learning Systems Institute. Final details on audiovisual equipment will be mailed to those accepted as presenters. Presenters requiring Macintosh equipment must bring their own Macintosh laptops. No Internet access will be available during sessions; presenters planning to illustrate Internet access should bring html files on a Zip or laptop hard drive for use in simulating web access. 

For planning purposes, please specify computer and audiovisual equipment you would like to use:

Return this completed Presenter Application / Registration Form to ICTE by January 16, 2001.  You may return the form by Mail, FAX, or Courier to:

By Mail:
ICTE Tallahassee
Conference Secretariat
Post Office Box 540579
Grand Prairie, Texas  75054-0579  USA

By FAX:
ICTE Tallahassee -- +1-972-641-0792

If you send your proposal by Federal Express, Purolator, or other courier, send it to:

By Courier:
ICTE Tallahassee
Dr. Lynn Peterson
University of Texas at Arlington
416 Yates
300 Nedderman Hall
Arlington, Texas 76019 USA

Proposals must be received by January 16, 2001.

PRESENTER REGISTRATION PAYMENT -- ICTE Tallahassee

If you elect to also pay for one or more Thursday Dinner / Receptions ($25 USD) or Friday Conference Banquets ($35 USD each), or for one or more sets of Conference Proceedings for ICTE Tallahassee ($65 USD) at this time, please include these payments in the total.

Presenter Registration Fees: (all amounts are in US dollars)

Please complete this form in BLOCK CAPITAL LETTERS:

Name ____________________________________________________________________________

Position / Title _____________________________________________________________________

Organization ______________________________________________________________________

Proposal Title(s): ____________________________________________________________________

__________________________________________________________________________________

I am interested in school visits (details to be posted on this web site in January 2001).

Payment by:

[    ] Check # _________      [    ] Purchase Order # ______________  

[    ] Money Order       [    ] MasterCard      [    ] VISA      [    ] AmEx

Account Number: ___________________________________________________________

Expiration Date: _____________________

Name as it appears on Credit Card: ____________________________________________

Address known to Credit Card Company: ________________________________________________

Signature:_________________________________________________________________
              (Required for Credit Card Payments)

TOTAL REMITTED_______________ DATE_____________

Return this completed Presenter Registration Payment Form by mail, FAX, or Courier To:

By Mail:
ICTE Tallahassee
Conference Secretariat
Post Office Box 540579
Grand Prairie, Texas 75054-0579  USA

By FAX: (Only if paying by credit card)
ICTE Tallahassee -- +1-972-641-0792

If you send the form by Federal Express, Purolator, or other courier, send it to:

By Courier:
ICTE Tallahassee
Dr. Lynn Peterson
University of Texas at Arlington
416 Yates
300 Nedderman Hall
Arlington, Texas 76019 USA