Registration Form for May 4-7, 2010 Master Teacher Program
Fee: US$1195 per faculty member

Name

Academic Rank

Department

University

Address

Telephone

E-Mail Address

Contact Ms. Ellen Ascher, Program Administator, for space availability.

Hotel Information:
Springhill Suites by Marriott / Buckhead
1-888-287-9400
Mention the Georgia State University Master-Teacher Program

To Register:

• Print this page
• Fill out form
• Please send check and the registration form to:

  Master Teacher Progam
  Ms. Ellen Ascher
  P. O. Box 4782
  Alpharetta, GA 30023

Make check payable to MASTER TEACHER PROGRAM.



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