2011 NARST Annual International Conference

Membership and Registration Form Onsite Only

Caribe Royale All-Suite Hotel & Conference Center
Orlando, FL
April 3-6, 2011
Registration fee includes:
*Full Conference Participation
*NARST Awards Luncheon

*Presidential / Welcome Reception

*Coffee Breaks

Admission to sessions, meals, and reception during conference are by name badge only. ALL participants and attendees are
required to register. Please print clearly.
First Name

Last Name

Institution

Home or Work Street Address (circle one)

City

State/Province

Work or Home Phone (circle one)

Check if

Zip/Postal Code

Fax

Country

E-mail (required)

First time NARST Conference

International Participant
Want a mentor?
Request special assistance*
*Nature of special assistance required

New Researcher
Vegetarian Meals
Willing to act as a mentor?

NARST 2011 Membership Dues (Annual dues are for January 1 through December 31, 2011)
Membership Dues Category (please mark one)
Regular

($120.00)

Student w/o JRST

Regular with E-JRST ($110.00)

($15.00)

Student + JRST

($55.00)

Non-collegiate educators + JRST ($55.00)

Non-collegiate educators w/o JRST

Emeritus with JRST

Emeritus w/o JRST (no charge)

($55.00)

UNDP HDI .700 Countries

($15.00)

($50.00)

Science Education journal subscription (please mark one)

As a member of NARST you are able to subscribe to receive the journal Science Education at the special discount rate offered by the
publisher, Wiley-Blackwell, as follows:
___Science Education subscription - NARST member with a mailing address in the USA

($65.00)

___Science Education subscription - NARST member with a mailing address in Canada

($68.50)

___Science Education subscription - NARST member with a mailing address other than the USA or Canada

Onsite Meeting Registration:

NARST Regular and Emeritus member registration (Circle one: U.S. or International)..$275.00

Non-member registration (does not include membership dues).$425.00

Student, Non-Collegiate Educator, and UNDP NARST member registration $155.00

Student, Non-Collegiate Educator, and UNDP non-member registration ...$220.00

(Note: non-member registration does not include membership dues)

Guest/Partner registration (full conference benefits)$260.00

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($95.00)

One day (Circle ONLY one: Sunday, Monday, Tuesday, Wednesday).$140.00

Awards Luncheon only...$50.00

Pre-Conference Workshops (Sunday, April 3, 8:00 am 12 noon)

Workshop #1: Equity Internationally Scholarship, Research, and Service for a
Global Science Education Community
Sponsored by:

Free

_________

Equity And Ethics Committee

Participants: Gillian U. Bayne, Nate Carnes, Sumi Hagiwara, Maria S. Rivera Maulucci, Felicia Moore Mensah,
Jomo Mutegi, Wesley Pitts and Jerome M. Shaw
_____________________________________________________________________
Workshop #2: Developing High Quality Reviews for the Journal of Research

Free

_________

Free

_________

in Science Teaching
Sponsored by: Publications Committee
Presenters: Angie Calabrese Barton, Joseph Krajcik, and Bob Geier
___________________________________________________________

Workshop #3: Developing a Competitive Educational Research Proposal

for NSFs Division of Research on Learning
Sponsored by: Research Committee
Presenters: Gavin Fulmer, Janice Earle, Kusum Singh, and Celeste Pea
___________________________________________________________

Please indicate breakdown and total of the enclosed payment (U.S funds only) below.
Make checks payable to NARST.
Check U.S.$ ________

Visa* ________

MasterCard* _________

Money Order U.S.$ _________

(Make check or money order payable to NARST)

Total Membership Dues:

$_____________

Total Meeting Registration Fees:

$_____________

Total Pre-Conference Workshop Fees:

$_____________

Grand Total:

$_____________

Method of Payment (For Visa/MasterCard complete the additional information below*)

Check U.S.$ ________

Visa* ________

MasterCard* _________

Please bring this form with you to the registration desk on-site. DO NOT MAIL/FAX

Credit card type (circle one):

Visa _________

MasterCard _________

Names as it appears on the credit card _______________________________________________________________

Account number ___________________________________________________ Expiration date _________________
Signature: ______________________________________________________________________________________

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