Required Information

This registration form is for NON-UC Conference Attendees.

Please be sure to send a check for your $75.00 dollar registration fee to us before March 3rd.

Checks must be made out to UNIVERSITY OF CINCINNATI and addressed to:

Andrea Herman, Business Manager
CET&L
2911 Woodside Drive
Langsam 480, ML 0033,
Cincinnati, OH 45221.

For questions please call Andrea Herman, Business Manager, at (513) 556-6382.

* 1. First Name

* 2. Last Name

* 3. Please identify your academic rank.

* 4. What institution do you work at? (You will identify your department/subject next.)

* 5. Please identify your department/subject.

* 6. Please enter your email address.

* 7. Please enter a telephone number where you can be easily reached.

* 8. How did you hear about this year's 3T conference?

* 9. Have you previously attended a CET&L program?

Please be sure to send a check for your $75.00 dollar registration fee to us before March 3rd.

Checks must be made out to UNIVERSITY OF CINCINNATI and addressed to:

Andrea Herman, Business Manager
CET&L
2911 Woodside Drive
Langsam 480, ML 0033,
Cincinnati, OH 45221.

For questions please call Andrea Herman, Business Manager, at (513) 556-6382.

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