Educational Technology Policy Research & Outreach

C3 Conference Registration

This form will reserve your space at the conference.

You can also mail in the form separately with payment [Word ... PDF] to

Davina Pruitt-Mentle
Educational Technology Outreach
University of Maryland
2127 TAWES
College Park, MD 20742-1121
dpruitt@umd.edu
301 405 8202

Toyia Younger
Outreach Programs
University of Maryland
0108B Cole Student Activities Bldg
College Park, MD 20742-1121
tyounger@umd.edu
301 405 0902
for school system invoicing, voucher information and campus FRS account

First Name:
Last Name:
E-mail:
Job Title:
School:
Address:
City
State
Zip
Please tell us what you do:
Vegetarian meals?		Yes No
Comments / Requests:
Questions? E-mail Davina Pruitt-Mentle: dpruitt@umd.edu

Early Registration (Must be received by June 1)	$ 95
Regular Registration (After June 1)	$150
On-Site Registration (As Available)	$175

Cancellations/Refunds: Substitutions rather than cancellations can be made. Please fax/mail substitute and canceling registrants’ names, addresses, phone numbers, and methods of payments to contacts above.

Educational Technology Policy,
Research, & Outreach
http://www.edtechpolicy.org//
dpruitt@umd.edu