33rd ANNUAL CoTESOL FALL CONVENTION
“Lost in Translation: Local practice versus global trends”
November 13-14, 2009
Red Lion Hotel Denver Southeast

(Register ONLINE and pay by CREDIT CARD at http://www.acteva.com/go/cotesol)

FILL IN, PRINT OUT AND SEND WITH CHECK TO: CoTESOL, 63 UCB, Boulder, CO. 80309-0063

"EARLY BIRD" CONVENTION REGISTRATION FORM (Deadline: October 16, 2009)

CoTESOL Member?  Yes or No

Please print or type

NAME:

[first name]

[last name]

ADDRESS:

Apt.#

[City, State, ZIP code]

POSITION:

Professional	Teacher/Instructor	Professor	Administrator
Level:	Materials Writer	Support Staff	Media Specialist, Librarian
Associate Level:	Student	Paraprofessional	Volunteer

Institutional Affiliation (school or employer):

Home Phone:	Work Phone:
Fax:	E-mail:

Are you presenting at the Convention? Yes No

One-year free membership in CoTESOL is automatically included with your registration! 
Convention Registration

Full Schedule (2 days)	Received on/	Received
	before 10/16/09	after 10/16/09
Registration Fee - Professional Level	$99	$120	$
(Teacher/Instructor/Professor/Administrator/etc.)
Registration Fee - Associate Level	$89	$110	$
(Student/Volunteer/Paraprofessional)

One-year free membership in CoTESOL is automatically included with your registration! 

Convention Registration

Half Schedule (1 day only...which day?)	Received on/	Received
Friday Saturday	before 10/16/09	after 10/16/09
Registration Fee - Professional Level	$89	$110	$
(Teacher/Instructor/Professor/Administrator/etc.)
Registration Fee - Associate Level	$79	$100	$
(Student/Volunteer/Paraprofessional)

Special Interest Group (SIG) Affiliation
Members may select affiliation in 2 SIGs; please specify your primary and secondary affiliation choices as 1 and 2.
  Adult Education (AE)
  Teacher Education / Action Research (TE / AR)
  Intensive English Programs/Higher Education
  Elementary Education (EE)

  Secondary Education (SE)

Luncheons

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

Please SPECIFY your meal choice for each day you plan to attend.

Friday Luncheon $25…..$ (Includes 28.1% service and tax.)
Rocky Mountain Mushroom Chicken (Marinated and sauteed chicken breast served with a port wine mushroom sauce) OR
Vegetarian Tri-color Tortellini (Tri-color pastas stuffed with ricotta, Romano, and parmesan cheese in a sun-dried tomato cream sauce)
Saturday Luncheon $25…..$ (Includes 28.1% service and tax.)
Marinated Flank Steak (Thinly sliced marinated flank steak served in a burgundy mushroom sauce) OR
Vegetarian House-Made Ravioli (Chef’s choice of vegetarian ravioli served with a brown butter sauce and fried sage)

TOTAL for REGISTRATION and LUNCHES $

Please print out and mail this form with a check or money order payable to "CoTESOL" for the total (sorry, no partial payments, credit cards, or purchase orders accepted with the mail in form. For credit card payment, use the link from the CoTESOL homepage. Or go to http://www.acteva/go/cotesol. A small processing fee will apply.)

Registration and full payment must be received (not postmarked) by October 16, 2009, to qualify for the pre-registration rate. Please use only one name per form. Mail this registration to:

CoTESOL
c/o Larry R. Fisher
63 UCB
Boulder, CO 80309-0063

Questions

· About registration/membership, call or e-mail Larry R. Fisher, Executive Secretary
Work: (303) 735-4234; e-mail: fisherl@colorado.edu

· For the latest in convention information, check out the CoTESOL web site at:
http://www.colorado.edu/iec/cotesol

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ATTENTION TEACHERS: INFORMATION ABOUT RE-CERTIFICATION CREDIT AVAILABLE THROUGH CU-DENVER TO CONVENTION PARTICIPANTS IS AVAILABLE ON THE CoTESOL WEBSITE .