Online Registration Form/Fall NCCEI Mini-Conferences October 2011...CEI - North Carolina Conference of English Instructors

Submit this online registration form and also pay registration and membership fees through PayPal
or mail check made out to NCCEI to:

Deana St. Peter, NCCEI Treasurer
Guilford Technical Community College
Box 309
Jamestown, NC 27282

Please print this page after you complete the form for your records
before you send/submit this online registration form.

Name:

College:

College Address:

City, State, Zip:

E-mail:

Work Phone:

Home Phone:

Your plan:

(Place an "X" in the field of each item you are requesting.)

CEI to Go Mini-Conference Location:
Eastern Region ~ New Bern

CEI to Go Mini-Conference Location:
Central Region ~ Mebane

CEI to Go Mini-Conference Location:
Western Region ~ Lenoir

$20.00 Registration Fee (Includes Lunch):
Vegetarian Lunch

$20.00 Registration Fee (Includes Lunch):
Non-Vegetarian Lunch

Join or Renew Annual CEI Membership Today ~ $15.00 Full time instructors:

Join or Renew Annual CEI Membership Today ~ $ 0.00 Adjunct instructors:

Total Payment:

Join or renew your annual CEI membership today with PayPal!

Registration payment through PayPal may be found on any mini-conference page.

Submit this online registration form and pay registration and membership fees through PayPal
or mail check made out to NCCEI to:

Deana St. Peter, NCCEI Treasurer
Guilford Technical Community College
Box 309
Jamestown, NC 27282

Security Check:
Enter both words below, separated by a space.

Please print this page after you complete the form for your records
before you send/submit this online registration form.