Minnesota Council of Teachers of Mathematics
2012 Ross Taylor Symposium for Mathematics Education and Leadership

“The Minnesota Mathematics Frameworks: Linking Minnesota Standards and Classroom Practice”

Thursday, May 3, 2011 Duluth Entertainment and Convention Center - Duluth, MN

REGISTER EARLY – Registration is limited

Discounted registration for teams of two or more people from the same school or district.
INCLUDE A BUILDING PRINCIPAL or DISTRICT CURRICULUM DIRECTOR on your team and receive a free registration for teams of four or more people.


Conference attendees should arrange their own lodging. For information about conference lodging in Duluth see www.mctm.org

If you have questions concerning the symposium contact:
Terry Wyberg
612-625-9823
wyber001@umn.edu

Questions concerning payment or billing can be directed to:
Tom Muchlinski, MCTM Executive Director
612-210-8428
mctm@mctm.org
Name:
Address:
City / State / ZIP:
Email:
Phone:
School:
Position:
Grade:
Individual Registration - $150
Vegetarian Meal Requested
Gluten Free Meal Requested
Team Registration - $150

PLEASE LIST OTHER TEAM MEMBERS IN THE SPACE PROVIDED TO THE RIGHT

First Registration: $150
Additional Registrations @ $100
Free Registrations: $0
Number of Vegetarian Lunches Requested

Number of Gluten Free Lunches Requested

Total Registration Fee

Team Members

Name:
School:
Position:
Grade:
Email:
Name:
School:
Position:
Grade:
Email:
Name:
School:
Position:
Grade:
Email:
Name:
School:
Position:
Grade:
Email:
Name:
School:
Position:
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Email:
Method of Payment
Credit Card
PLEASE NOTE: You will be prompted to pay via PayPal after this form has been submitted.
The PayPal form will say "donation", but it IS your conference fee payment)

Check payable to MCTM
PO Number
If using a P.O., please send a copy either via surface mail
or as an email attachment to tmuchlinski@earthlink.net. Mail checks and P.O.s to:
MCTM
PO Box 289
Wayzata, MN 55391