33rd Annual CoTESOL Fall Convention

“Lost in translation: Local practice versus global trends”

November 13-14, 2009

Red Lion Hotel Denver Southeast (formerly Radisson)

“Early Bird” Convention Registration Form

Deadline: October 16, 2009

Register on line (by credit card) at: http://www.acteva.com/go/cotesol

Register by mail (with a check) to: CoTESOL, c/o Larry Fisher, 63 UCB, Boulder, CO 80309-0063

Please print legibly or type—only one registrant per form.

Are you currently a CoTESOL member? ___ Yes ___ No Are you presenting this year? ___ Yes ___ No

Name:

First Last

Address:

Street Apartment #

City State Zip code

Institutional affiliation (school or employer):

Home phone: Work phone:

Fax number: E-mail:

Membership category:

Professional level    ___ Teacher/Instructor    ___ Professor    ___ Administrator

   ___ Materials Writer    ___ Support Staff    ___ Media Specialist, Librarian

Associate level:    ___ Student    ___ Paraprofessional    ___ Volunteer

Convention Registration Your one-year membership in CoTESOL is automatically included!

Full schedule (two days) “Early Bird” registration Regular registration

(received by 10/16/09) (after 10/16/09 or on site)

Professional level $99 $120 $_______

Associate level $89 $110 $_______

Half schedule (one day only) Which day?    __Friday    __Saturday

“Early Bird” registration Regular registration

(received by 10/16/09) (after 10/19/09 or on site)

Professional level $89 $110 $_______

Associate level $79 $100 $_______

Special Interest Group (SIG) selection

Members may select affiliation with two SIGs. Please specify your primary and secondary SIGs as 1 and 2.

___ Adult Education (AE) ___ Secondary Education (SE)

___ Intensive English Programs / Higher Education (IEP/HE) ___ Teacher Education / Action Research (TE / AR)

___ Elementary Education (EE)

(OVER")

Luncheons

(All meals served with Tossed Salad & Selected Dressings, Fresh Baked Dinner Rolls and Butter,
Chef’s Selection Dessert, and House Blend Coffee/Tea Service)

Friday luncheon (includes 28.1% service and tax)—Choose one $25 $_______

  ___ Rocky Mountain Mushroom Chicken (Marinated and sautéed chicken breast served with a port wine mushroom sause)

  ___ Vegetarian Tri-color Tortellini (Tri-color pastas stuffed with ricotta, Romano, and parmesan cheese in a sun-dried tomato cream sauce)

Saturday luncheon (includes 28.1% service and tax) —Choose one $25 $_______

  ___ Marinated Flank Steak (Thinly sliced marinated flank steak served in a burgundy mushroom sauce)

  ___ Vegetarian House-Made Ravioli (Chef’s choice of vegetarian ravioli served with a brown butter sauce and fried sage)

TOTAL for Registration and Lunch(es) $

This Registration Form and full payment must be received by October 16, 2009, to qualify for the “Early Bird” Convention rate. Sorry, no partial payments or purchase orders will be accepted.

Register on line (by credit card) at: http://www.acteva.com/go/cotesol

(There is a link to this form on the CoTESOL web site. A small processing fee will be applied to the total.)

Register by mail (by check or money order made out to “CoTESOL”) to:
CoTESOL, c/o Larry R. Fisher, 63 UCB, Boulder, CO 80309-0063

Questions?
Call or e-mail Larry R. Fisher, CoTESOL Executive Secretary, at (303) 735-4234 (work) or Larry.Fisher@colorado.edu

For up-to-the-minute convention information, check the CoTESOL web site: http://www.colorado.edu/iec/cotesol

Attention Teachers!
Re-certification credit is available to CoTESOL Fall Convention participants through the University of Colorado-Denver. A link to information is available on the CoTESOL web site: http://www.colorado.edu/iec/cotesol