form

Registration Form
Society for Ethics Across the Curriculum
c/o St. Louis Community College (Meramec), 11333 Big Bend Rd, St. Louis, MO 63122 •
PH (314) 984-7934 • Fax (314) 984-7254
th
13 International Conference, November 3-5, 2011 – Moonrise Hotel, St. Louis MO
Name:
____________________________________________________________________________
Address:
____________________________________________________________________________
Phone
_________________________
Email ____________________________________________
Institutional Affiliation, if applicable ____________________________________________________________
□ I am willing to chair a session.
Note that membership in the Society includes a subscription to Teaching Ethics.
Membership Dues
Current Year (2011) Dues ($30 individual or $50 institutional)
$ ________
Membership Dues
Next Year (2012) Dues ($30 individual or $50 institutional)
$ ________
Registration Fee
($70 for current SEAC members; $100 for non-members)
$ ________
Banquet, Friday, Nov 4
$35 per person □ Vegetarian
Reserve ____ places
$ ________
TOTAL $ ________
Please make check payable to: Society for Ethics Across the Curriculum
Mail to:
Donna Werner
Secretary-Treasurer, SEAC
Humanities Department (HE 101)
St. Louis Community College (Meramec)
11333 Big Bend Rd
St. Louis MO 63122-5720
OR you can pay online via credit card at LINK