AlaMATYC 2022 Conference Registration

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This year's conference will be held April 21, .

Email *

What is your name? *

What is the name and address of your Institution or affiliation? *

Name

Street address including city, state, and zip code

What is your primary subject area?(ex. math, computer science, physics, chemistry, etc.) *

Please choose one of the following. *

Two-Year College

Four-Year College

University

Technical School

High School

Other

The deadline for early registration is March 11, 2022. Please Choose the correct registration. *

$50 AlaMATYC membership, Conference registration and conference gift

VIRTUAL OPTION $50 AlaMATYC membership, Conference registration and conference gift

$15 AlaMATYC Membership only, not attending the conference

$50 LATE REGISTRATION, after March 11, 2022. NO CONFERENCE GIFT.

Please choose a t-shirt size if you are attending the conference *

Late Registration

If you chose the virtual option, you have the option of getting your conference gift shipped to you or picked up by someone from your college. *

Ship it to me.

Allow my designee to pick up my conference gift.

I will be attending in person.

If you chose for a designee to pick up your conference gift, please tell us their name and affiliation. Put N/A if you will be attending in person.

Do you have any special needs? If yes, please explain. *

Do you have any dietary or nutrition requests? If yes, please explain. *

Are you interested in becoming an AlaMATYC board member? *

YES

Would you be a presider for one speaker session? *

YES

I understand that an invoice will be emailed to me that will tell me the total for my registration. Please make all checks and PO to AlaMATYC. *

AGREE

If your institution is paying for a group please send an email to alamatyc@gmail.com letting us know how many will be grouped together on the invoice. Please have them all register in a timely manner *

AGREE

N/A

I understand that my registration fees must be sent in ASAP. Please mail all checks and PO to Candace Smith, AlaMATYC Treasurer, Trenholm State Community College, P.O. Box 10048, Montgomery, AL 36108. PO's may be brought to the conference with approval, email csmith@trenholmstate.edu for approval. *

AGREE

Is it ok to share your information(name and email) with conference vendors?

Yes

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As of right now, AlaMATYC will be abiding by the COVID Policy in place currently at Northwest-Shoals Community College. Masks are preferred but not mandatory. As COVID numbers fluctuate, this policy may be revised. NWSCC will be updating their policy by March 4, 2022 so if this changes, all registrants will be notified.

I understand

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A copy of your responses will be emailed to the address you provided.

Submit

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