PU E R TO R I CO TE A CHE R S O F ENGLI S H TO S PE A KE R S O F OTHE R LA NGUA GE S WPRTESOL@GMAIL.COM | WWW.FACEBOOK.

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WESTERN PR TESOL

36th Annual Regional Conference Integrating Culturally Relevant Literature in the English Classroom
Saturday, April 27, 2013 Inter American University in Aguadilla

PRE-REGISTRATION FORM
PLEASE PRINT CLEARLY. This is the information we will use to issue your materials and certificates. Your complete mailing address and contact information are a must.

NAME: HOME PHONE: EMAIL: ADDRESS:

CELL PHONE: ZIP CODE: NONMEMBERS** FULL TIME STUDENTS* FULL TIME STUDENTS NONMEMBERS $15.00 $20.00

MEMBERS REGISTRATION (postmarked by April 5, 2013) ON-SITE REGISTRATION

$15.00 $20.00

$30.00 $35.00

$10.00 $15.00

*Full-time students will be required to include/present a copy of their registration as evidence. **Non-members who become members at this time pay $25.00 for membership and the reduced fee for the conference. The registration fee includes lunch. Western PR TESOL certificates will be provided. Make checks or money orders payable to WESTERN PR TESOLCHECK # __________ Pre-registration forms must be postmarked by Friday, April 5, 2013 and mailed with payment to the following address: WESTERN PR TESOL C/O Dr. Carol N. Moe PMB 75 PO Box 5100 San Germn, PR 00683 E-mail: wprtesol@gmail.com