Technology in and Beyond the Classroom
March 2-3, 2012 – Registration Form
Name: _______________________________________________ Phone: ______________________ Fax: __________________ School: _____________________________________________ Address: ____________________________________________ City/State/Zip: _____________________________________ E-mail: _____________________________________________
Conference price includes an optional wine and cheese event on Friday evening, March 2, and breakfast and lunch on Saturday, March 3.
$_____ Attending as non-presenter ($250)
$_____ Attending as presenter ($200)
__ Enclosed is a check payable to: North Carolina Central University
__ Please charge to my __ Visa __ MasterCard
Card No: _____________________________________ Expiration Date: ____ / _____
Print name (as it appears on card): __________________________________________
Print and complete this form and return it with your check or credit card information to:
NCCU School of Law
Attn. Tamara L. Talmadge
640 Nelson St.
Durham, NC 27707
For information, contact either:
- Professor Michael Hunter Schwartz
Washburn University School of Law
michael.schwartz [at] washburn.edu. - Professor Charles E. Smith
NCCU School of Law
csmith [at] nccu.edu


