CONFERENCE ELECTRONIC REGISTRATION FORM
1997 O.C.S.S Annual Conference, April 10-12,1997

INSTRUCTIONS: Please send a separate form for each person to be 
registered Make checks payable to OHIO COUNCIL FOR THE SOCIAL STUDIES. 
Copy as many forms as needed.

Mail form and remittance to:

JAN RIBAR
O.C.S.S. ANNUAL CONFERENCE
2211 Arthur Avenue
Lakewood, Ohio 44107

Please Print:

Name:

Home Address:


City:                     State:         Zip:

If applying for CEUs: Social Security #

School/Afrlliated Organization:
Work Address:

Street:

City:                     State:         Zip

Phone:
Home:                     Work:

NAME TAG AS YOU WISH IT TO APPEAR
First Name or
Nickname:

Full Name:

School or
Affiliated Org.:

Circle if applicable: Presenter    Facilitator   Exhibitor 

                      First Time Attendee

All who attend must register.

REFUND POLICY: NO REFUNDS WILL BE GRANTED UNLESS A WORKSHOP OR
AN OFF SITE EXPERIENCE IS CANCELLED. REFUNDS WILL BE MAILED.

PRE-REGISTRATION FEE MUST BE POSTMARKED BY APRIL 1, l997.

Membership Valid Through: Month:        Year:                      
(see membership card)

If student member, signalure of professor:

Renew OCSS Membership: add $15 Regular; $5 Student/Retired

                                             		Student/Retired  Member    Non-Member 
1. PRE-REGISTRATION DISCOUNT $90.00               $100.00     $110.00
PACKAGE: (includes Conference Registration
and luncheon Friday, banquet Friday
and breakfast Saturday)

2. PRE-Registration Fee: Conference only           $55.00     $65.00    $75.00
3. LATE Registration (after April 1, 1997)         $60.00     $75.00    $85.00
4. FRIDAY ONLY (Special Rate)		$30.00		$35.00	$45.00
4. SATURDAY ONLY (Special Rate)                    $25.00     $30.00    $35.00
5. SPOUSE (Name:                    )              $20.00     $20.00    $20.00

Registration Sub-Total---------------------------- $          $         $

MEAL FUNCTIONS (separate purchase of tickets)
No meals can be purchased on site. You must preregister.
  
  Friday Luncheon                 $15.00
  Friday Cararet Package                  $28.00
	Circle Meal Choice:   A   B   C
  Saturday Ohio Council Breakfast $9.00 
Saturday Lunch		$14.00
  
  Meal Functions Sub-Total-------------------------$____________________

C.E.U. CREDIT FEE
Thursday Only			$10.00
Friday/Saturday Only		$10.00
Thuesday/Friday/Saturday	$15.00



PRE-CONFERENCE WORKSHOPS* on April 10,1997:

Using Primary Sources        $40.00

Teach and Assessing Critical Thinking Skills   $35.00

Rollin' with the Times          $40.00

(* Pre-conference participants MUST be registered in category I, 2, or 3 above.)

SPECIAL EVENTS (No charge, but you must have a ticket to attend.
Please circle yes or no if you plan to attend.)

Publishers' Breakfast Friday:   yes      no

GRAND TOTAL=====> $

Mail form and remittance to:

JAN RIBAR
O.C.S.S. ANNUAL CONFERENCE
2211 Arthur Avenue
Lakewood, Ohio 44107