Registration Form

15th International Conference
on Ethics Across the Curriculum

Date: October 3-5, 2013
Corvallis, Oregon

Program,
Travel, Accommodations

Registration covers lunch.

Print out the Registration Form as a pdf and mail to Donna Werner at the address below. We do not yet have the capacity for you to register online. We would appreciate your registering sooner rather than later.

Name: ________________________________

Address: ____________________________________________________

Phone: __________________________

E-mail: ___________________

Institutional Affiliation, if applicable: ________________

Membership is $30 for individuals and $50 for institutions; membership includes a subscription to Teaching Ethics.

$_______2013 Membership dues,
$_______2014 Membership dues
$_______Registration fee, $70 members, $100 non-members
$_______Banquet, Friday, October 5th, to be determined

$_______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