1ST CMU TEL Symposium Registration Form

First Carnegie Mellon Technology Enhanced Learning Symposium Registration Form

Please send this form by surface mail or email to the following before May 3, 1996.

TEL Symposium
c/o Kay Kowalski
School of Computer Science
Carnegie Mellon University
Pittsburgh, PA 15213

FAX: 412-268-5576

EMAIL: telsym@cs.cmu.edu

I would like to attend the First Carnegie Mellon Symposium on Technology Enhanced Learning.

Name: _________________________________________________________________________

Company or Institute: _________________________________________________________

Address: ______________________________________________________________________

City, State, Zip: ________________________________________________

Country: ______________________________________________________________________

Telephone: _____________ Fax: _________________________________________________

E-Mail: _______________________________________________________________________


Would you like us to distribute your name and address information to the other
participants?
[ ] Yes	   [ ] No

Would you like your URL listed in the Symposium Web pages?
[ ] Yes,
WWW URL: _____________________________________________________________________

Dinner Type:
[ ] Vegetarian      [ ] Non-Vegetarian

Registration type: 
[ ] CMU Faculty, Staff, and Students (no fee)
[ ] Other, registration fee is $50

Payment should be by check, made out to Carnegie Mellon University.