NES/MAA Regional Dinner Meetings - Spring 2003

Registration Form

Dinner Meeting at Framingham State College in Memory of Kenneth J. Preskenis

Thursday, April 17, 2003

 

Please print this form, provide the requested information for each person who will be attending the Dinner, and mail the completed form(s) with a check payable to the Framingham State College Mathematics Department to the address given below.  On-line registration and registration through e-mail are NOT available.

 

The deadline for registration is April 3, 2003.  Please make sure that your completed registration form(s) and payment are received by the deadline.

To register, please send the completed registration form(s) with a check for $28.00 per person, payable to Framingham State College Mathematics Department, to

Sarah Mabrouk
Mathematics Department
Framingham State College
100 State Street, P.O. Box 9101
Framingham MA 01701-9101

 

 

           Name:                                                                                                                                                            

    Affiliation:                                                                                                                                                             

 

Please clearly print your complete mailing address.  A parking pass will be mailed to you.  If your mailing address is incomplete or unreadable then receipt of your parking pass may be delayed.

     Address:                                                                                                                                                             

                                                                                                                                                                                   

 

Telephone:  (W)                                                                                  (H)                                                                 

E-mail:                                                                                     



Return to NES/MAA Regional Dinner Meetings - Spring 2003

URL: http://www.southernct.edu/organizations/nesmaa/Dinner_Meeting_Form.htm
Revised: March 19, 2003

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