| Note:
This form is only for participants who will be paying online. If you
will be sending a check or purchase order, please use the printed
registration form. |
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Name:
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Affiliation
for badge, including city and state:
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Mailing address:
Address Line 1 (street
address):
Address Line 2 (e.g.,
apartment #):
City:
State:
Zip:
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| Phone:
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Fax:
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Email:
Please send me email announcements and important updates about NITOP (just
a few times per year) |
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I will attend
the following free workshops on January 3:
Forum: What Have I Got Myself Into? Tips and Strategies
for People who are New To Teaching Introductory Psychology, 8:009:45
am
Annual STP Workshop: Interteaching: A Practical Pedagogy for
Promoting Performance, 8:009:45 am
Create Engaging PowerPoint Presentations That
Facilitate Great Teaching, 9:0011:45 am
Improving Online Courses by Improving Connection with Students, 10:0011:45
am
Annual College Board Workshop: Introductory Psychology from AP
through College: Compelling Demonstrations That Work!, 10:0011:45
am
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Roommate request:
Please match me with a possible roommate at the TradeWinds Island Grand
(I understand that I will be notified by phone or email
if you are able to do so, and that I will be responsible for making
the arrangements/reservations):
My gender:
male
female
I am a non-smoker
Arrival date
Departure date
Notify me by:
phone
and/or
email
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I attended NITOP in
I am a new participant; I learned about NITOP from (check all that apply):
conference brochure by mail
conference brochure from a colleague
announcement in:
electronic news network or website:
recommendation from a past participant (name):
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Please accommodate the following special needs:
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You will be submitting
your payment information on a separate page, but we ask you to indicate
your registration information below so that we can keep it with the
information you provided above.
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