Registration Form for TMTA and UETCTM Joint Conference
September 23-24, 2011
East Tennessee State University
Registration Fees include a ticket for the Friday evening banquet, continental breakfast/snacks Saturday morning, lunch
Saturday, access to sessions, and membership to TMTA and your regional affiliate. Tickets for the Friday evening
banquet are included in the registration fee, but additional tickets may be purchased for $15. Seating at the banquet is
limited and tickets will be issued on a first come, first served basis.
The following reduced rates are available for those who pay and have their registration postmarked by
September 9, 2011. No exceptions!
Please complete the following carefully. Please print legibly.
One registration is required for each participant. Duplicate this form as necessary.
Name ______________________________________________________________home phone (_____)________________________
Email address**______________________________________________________work phone (_____)________________________
Home address____________________________________________City, State, Zip________________________________________
School Name_____________________________________________ Circle one: elementary middle high college supervisor
School address____________________________________________City, State, Zip_______________________________________
Which address do you prefer for mailings? Home________ or School ________
Do you wish to join an affiliate leadership team? ___________ Would you like to make a presentation next year? _______________
**A confirmation email will be sent to you within 2 weeks of receipt of your registration.
Please see www.tmta.info
for conference program and websites of the affiliate organizations.
Teacher Early Registration Fees Pre-Service Teacher Registration fee for those not paid and
Postmarked by Sept. 9—NO exceptions! Early Registration Fees postmarked by September 9 or for those
Use third column if postmarked after Indicate college attending: who register on-site. Please indicate
September 9. ________________________________ your affiliate choice in the first column.
Registration $75.00 Registration $45.00 Registration $85.00
(includes 1 Banquet (includes 1 Banquet (includes 1 Banquet
Ticket) Ticket) Ticket)
Additional Banquet ______ x $15.00 Additional Banquet ______ x $15.00 Check or PO#
Ticket(s) $15 each Ticket(s) $15 each
Indicate the affiliate of your choice. See Indicate the affiliate of your choice. See Registration forms must be
back for descriptions. back for descriptions. accompanied with payment. Make
UETCTM UETCTM checks payable to TMTA.
(MT)2 (MT)2 Registration questions?
MT2nw MT2nw Email email@example.com or call
CAMTA CAMTA 731.881.7356 or 731.881.7477.
MAC-O-TOM MAC-O-TOM Contact Stephanie Kolitsch for questions
SM2EA SM2EA regarding one day attendance.
Check or PO # Check or PO # Conference questions?
or call 731.881.7477.
Early registration MUST be postmarked by September 9, 2011. Make checks payable to TMTA.
Send to: Stephanie Kolitsch, c/o UT Martin Math & Stats, 424 Humanities, Martin, TN 38238.
Registration questions? Email firstname.lastname@example.org or call 731.881.7477 or 731.881.7356.
Tennessee Mathematics Teachers’ Association is supported by eight regional affiliate organizations:
CAMTA Chattanooga Area Mathematics Teachers’ Association
MAC-O-TOM Memphis Area Council of Teachers of Mathematics
(MT)2 Middle Tennessee Mathematics Teachers
MT2nw Mathematics Teachers of Tennessee Northwest
SM2EA Smokey Mountain Mathematics Educators Association
TMATYC Tennessee Mathematics Association of Two-Year Colleges
UETCTM Upper East Tennessee Council of Teachers of Mathematics
TAMTE Tennessee Association of Mathematics Teacher Educators
Our parent organization is the
National Council of Teachers of Mathematics
TMTA website: www.tmta.info