PROJECT TOMORROW - AEA INNOVATION IN EDUCATION …



| |Project Tomorrow - AeA Innovation in Education Summit Registration |

|Preparing Today’s Students to be Tomorrow’s Innovators |

|Friday, October 24, 2008 |Participation Fee: $75 |

|9 am – 3 pm |(includes a hot buffet breakfast, lunch and all Summit materials.) |

|Tiger Woods Learning Center | |

|One Tiger Woods Way - Anaheim, CA 92801 | |

|REGISTRATION INFORMATION – Please type or write legibly |

|Organization: |# of Attendees:__________ @ $75 each: ____________ |

|Contact Name: |Title: |

|Address: |

|City: |State: |Zip: |

|Daytime Phone: ( ) |Fax: ( ) |Email: |

|method of payment |

|Check enclosed in the amount of: __________ |Invoice Requested in the amount of: ____________ |

| | |

|Google Checkout via |Reference PO #__________ |

|Bill my card in the amount of: ______________ |

|Card #: ___________________________________________ Exp Date: __________________ |

|Credit Type (Circle One): Visa MasterCard American Express |

| |

|Credit Card Signature: ____________________________________________________________ |

| |

|Yes, the address and phone number associated with this card are the same as above. |

|Please contact me about becoming a Summit Sponsor. |

|Please contact me about helping to support science, math & technology education in Orange County schools. |

|Unfortunately, I cannot attend the Summit, but would like to sponsor ___ teachers to attend ($75 per teacher). |

|Project Tomorrow will confirm the participants’ names with the individual listed above. Please submit this form by October 17th. The form can be |

|returned via: |

|FAX to: (949) 609-4665. |

|USMAIL to: Innovation Summit Registration |

|Project Tomorrow ● 15707 Rockfield Boulevard, Suite 330 ● Irvine, CA  92618 |

|EMAIL to aford@ |

| |

|For further information please call Amanda Ford (949) 609-4660, ext 12, or email innovation@. |

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