EbD Registration

Registration Deadline: June 11, 2010

Important: Sessions are filled on a first-come, first-served basis. Tech. Ed. Concepts (TEC) will be accepting

Engineering byDesign™2010 registrations until June 11, 2010 while space is available. Email confirmation of

your enrollment will be issued after TEC has received all of the requested information AND a hard copy of a

School P.O. or credit card information. Should you need to cancel your registration, you may do so before

June 11, 2010 and we will refund all fees excluding a $25 cancellation fee. If you would like to transfer your

registration to another individual, please submit in writing to TEC indicating to whom you would like to transfer

your registration, current address, school, email address and telephone number.

Engineering byDesign 2010 Registration

Please submit payment below if you are paying online

* = Required field

EbD-TEC Summer Institute Registration

Name*

School*

School Address*

School City*

School State*

School Zip*

School Phone*

School Email Address (Email is used for all primary correspondence)*

Home Address*

Home City*

Home State*

Home Zip*

Home Phone*

Home Email Address

Please send all of my correspondence to my:*
Home
School

Select Your Course*
EbD, Invention and Innovation - 1 Day Course
EbD, Technological Systems - 1 Day Course
EbD, Technology and Society - 3 Day Course

Select Your Package*
Invention and Innovation ($60)
Technological Systems ($60)
Technology and Society, Package A ($175)
Technology and Society, Package B ($580-Includes Lodging)
Technology and Society, Package C ($690-Includes Lodging/Meals)

Tuition Payment*
I will pay online
I will be paying with a School PO
I will pay over the phone
I will fax or mail payment

School Purchase Order Number (If paying by School PO)

Check One (If paying by School PO)
Invoice Prior to July 1, 2010
Invoice After to July 1, 2010

Hotel Arrival

Hotel Departure

Shirt Size*
SM Med LG XL XXL

Are You Interested In Graduate Credits? *
2 graduate credits are available for Technology and Society ONLY for an additional cost of $165.00/credit through Keene State College. A graduate credit form will be available at TEC Summer Institute and must be submitted to TEC during that week in order to receive graduate credits.
Yes No

Important! Read this if you want Graduate Credits!

After adding your Package selection to the store, click your browser's BACK button to return to this page to add Graduate Credits. DO NOT click on the store's "Continue Shipping" icon as it will return you to our Academic store page instead of this EbD registration page.

Engineering byDesign™ Payment Options
EbD-Invention and Innovation July 7, 2010 Credit Card Orders Only	630-3025A	$60
EbD-Technological Systems July 8, 2010 Credit Card Orders Only	630-3025B	$60
EbD-Technology and Society July 7-9, 2010 Package A Credit Card Orders Only	630-3025	$175
EbD-Technology and Society July 7-9, 2010 Package B - Includes Lodging Credit Card Orders Only	630-3026	$580
EbD-Technology and Society July 7-9, 2010 Package C - Includes Lodging & Meals Credit Card Orders Only	630-3027	$690
Graduate Credits for Technology and Society Course ONLY (2 Credits @ $165 each)	630-3998	$330

*Note: TEC, Inc. Reserves the right to add, cancel, postpone or combine Institute Sessions, to limit registrations, and to change instructors. Course changes and regulations are subject to change without advance notice. TEC is not responsible for any errors or emissions. Graduate credits are available for an additional fee.