Registration form:

Please fill in the attached Registration form and follow one of the steps below.

Three ways to register (Please choose one option):

1. Mail completed registration form and a check made payable to Western Illinois University to the Office of Non- Credit Programs, Western Illinois University, 1 University Circle, Macomb, IL 61455-1390.
2. Phone 309/298-1911 with registration and credit card information
3. Fax completed registration form with credit card information to 309/298-2226

Registration fee:

• Full-time Educator     ..................................................$50.00
• Full-time Educator with discount  ................................$40.00
• WCCTM Member  ....................................................$45.00
• Speaker .....................................................................Waived  (Link to Abstract Submission page)
  
• Full-time student ........................................................ $10.00
• Workshop & Box Lunch

        Polynomiography  (max. 30) ........ ................................$10.00
        Truncated Icosahedron CD Sculpture (max. 40).............$10.00