Ten County Mathematics Educators Association Conference
Saturday, March 13, 2010
PRE-REGISTER BY FEBRUARY 27, 2010
Please print clearly – registration will be confirmed by email

Last Name: _______________________ First Name: __________________ (Title:) _________

Preferred mailing address: Home_______ School_______

Home Address: (include city, state, and zip)
____________________________________________________________________________

Home Phone #: _______________________ County in which you teach: ___________________

Preferred E-mail Address: ____________________________________________________________________________

School/College Name: _________________________________________________________________

School/College Address: (include city, state, and zip) ____________________________________________________________________________

School Phone #: ____________________________ School Fax #:________________________

Level(s) you teach or supervise - circle all that apply: K, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, C

Professional organizations to which you belong: AMTNYS___ NCTM ___ NYSAMS___ Other
____________________________________________________________________________

If you are in your last year of college, please leave an address to which mail can be sent in 2010:
____________________________________________________________________________

Registration fee includes $5 Membership, breakfast, 4 workshops, and lunch

Pre-Registration: On-Site Registration: Mail Registration and Check payable to:
—Teacher $35 —Teacher $45 Treasurer, TCMEA
—Student $20 —Student $45 c/o Suzanne Libfeld
Membership Only $5   2843 Old Yorktown Road
    Yorktown Heights, New York 10598
© Copyright 2008 All Rights Reserved, Ten County Mathematics Educators Association.
TCMEA is an Affiliate of:
The National Council of Teachers of Mathematics (NCTM) and
The Association of Mathematics Teachers of New York State (AMTNYS)