STILLMAN
3601 Stillman Boulevard • Tuscaloosa, Alabama 35401
 
REGISTRATION FORM

Technology Conference

"Best Practices: Integration of Technology into Instruction"
February 17-18, 2006

 

To register for the Technology Conference, please complete this form and mail-in your registration fee
(which is $100 through January 27 and $125 after January 27).
Please mail-in your check or money order payable to Stillman College Technology Conference. Send to
Dr. Anthony Nzeocha
Technology Conference Chairperson
Stillman College
3601 Stillman Blvd./P.O. Box 1430
Tuscaloosa, AL 35403
For more information, contact Dr. Anthony Nzeocha at (205) 247-8004 or Email anzeocha@stillman.edu.
 

Last Name First Name

Title

Institution
(Your badge will be prepared from the information provided in previous sections)

Department

Street

City State Zip

Telephone () - -   Fax () - -  Email

Academic Discipline