American Society for Engineering Education (ASEE)

Fall-2009  Mid-Atlantic ASEE Conference

October 23-24, 2009, King of Prussia, PA

 

Registration Form

   
Last Name: _____________________________
First name: _____________________________
MI: ____
Address1: _____________________________
Address2: _____________________________
City, State, ZIP: _____________________________
E-mail address: _____________________________
Phone (business): _____________________________
Number of attendees:  _____  X $125.00  =______
Number of students:     _____  X $60.00  = ______
Number of guests:        _____  X $50.00  = ______   

   Total registration fee:  ________

 

 

Please indicate the workshop you plan to attend.

 

Please mail the registration form along with check payable  to Mid-Atlantic Conference Account to:

Dr. Ali Setoodehnia

Chair, School of Computer and Electronics Engineering Technology,

ITT-Technical Institute

760 Moore RD.

King of Prussia, PA 19406

Contact: Dr. Ali Setoodehnia             Email:  asetoodehnia@itt-tech.edu             Telephone:  (201)-344-1678