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Fill in the information below or download a copy of the registration form for printing and mailing.
First Name:
Last Name:
School/Affliliation:
School District:
Job Title: choose one Teacher Administrator Vendor
Preferred Mailing Address:
City: County: choose one Outside Idaho Ada Adams Bannock Bear Lake Benewah Bingham Blaine Boise Bonner Bonneville Boundary Butte Camas Canyon Caribou Cassia Clark Clearwater Custer Elmore Franklin Fremont Gem Gooding Idaho Jefferson Jerome Kootenai Latah Lemhi Lewis Lincoln Madison Minidoka Nez Perce Oneida Owyhee Payette Power Shoshone Teton Twin Falls Valley Washington State: Zip
Preferred Email Address:
Grade-level: Choose one Elementary Secondary Higher Education Vendor
Subject Area(s):
Registering for this conference includes conference fees and membership in your choice of either ICTM or ISTA. Membership in either organization includes membership benefits such as newsletters throughout the year, communications about upcoming events and opportunities for teachers as well as other benefits. This conference also allows you to join BOTH organizations for a reduced membership rate and receive member benefits from both.
Please select your registration choice: Choose One Registration and ICTM Membership only ($50) Registration and ISTA membership only ($50) Registration and ICTM and ISTA membership ($60) On-Site Registration: $60.00 with one membership, $70.00 with both memberships.
Following the submission of this form, print the confirmation page and send a copy with your registration fee to:
Idaho Science Teachers Association 4278 Patton Rd. Boise ID 83704