FALL CONFERENCE REGISTRATION FORM

Directors of Educational Technology/ California Higher Education
December 1-4, 1997
UCLA Conference Center
Lake Arrowhead
Hosted by CSU San Bernardino




Name:  Title:
School (or Affiliation):
Address:
City,  State:   Zip:
Phone: Fax:   
E-mail:WebSite:
[ ] DET/CHE Member (includes banquet dinner) $130.00__________
[ ] Non-Member (includes banquet dinner) $150.00__________
[ ] Late reg. fee (after Nov. 1, 1996) $ 20.00__________
[ ] Additional Conference Dinner Guests _____ $ 35.00 each__________
[ ] 97-98 DET/CHE membership renewal $ 35.00__________
 
TOTAL__________

PLEASE CIRCLE you entree election. (Note quantity if ordering for guests)
____ Chicken____ Fish____ Vegetarian


Make Checks payable to "DET/CHE"

Send check and registration form to:
SUSAN CORUM
Dean, Learning Resources
Saddleback College
28000 Marguerite Parkway
Library 218
Mission Viejo CA 92692
(714) 582-4516