Registration Form

14th International Conference
on Ethics Across the Curriculum

October 4-6, 2012
Grand Rapids, Michigan

Program,
Travel, Accommodations

Registration covers coffee/snack breaks, three mornings of coffee/fruit/bagels, and two lunches (one bagged for a walk through ARTPRIZE). Check if you prefer vegetarian ___ or vegan ___.

You may register online no later than October 1st. We would appreciate your registering sooner rather than later.

Name: ________________________________

Address: ____________________________________________________

Phone: __________________________

E-mail: ___________________

Institutional Affiliation, if applicable: ________________

$_______2012 Membership dues, $30 individual, $50 Institutional: membership includes a subscription to Teaching Ethics.
$_______2013 Membership dues
$_______Registration fee, $70 members, $100 non-members
$_______Banquet, Friday, October 5th, $35 per person

Please check your choice for the banquet:
___Florentine Chicken
___Bistro Steak
___Citrus Tilapia
___Veggie stir fry with tofu

$_______TOTAL

I am willing to chair a session: Yes____No____

Donna Werner
Secretary-Treasurer, SEAC
Humanities Department (HE 101)
St. Louis Community College (Meramec)
11333 Big Bend Rd
St. Louis MO 63122-5720