NES/MAA Regional Dinner Meetings - Spring 2003

Registration Form for Dinner Meeting at the College of the Holy Cross on April 2, 2003

To use this form, you will need to print it out and mail it. On-line registration and registration through e-mail are NOT available.   Please be sure that you send the registration in by March 24, 2003,  the deadline for this dinner meeting.

To register, send this form with a check for $15.00 per person,  payable to College of the Holy Cross,  to

Name:______________________________________________
 

Institution:__________________________________________
 

Address:____________________________________________
 

   ____________________________________________
 

Telephone:   (W)___________________       (H)_________________
 

E-mail:__________________
 

Choice of entree:      Broiled Boston Scrod  _____    Chicken Marsala ____
 


Return to NES/MAA Regional Dinner Meetings - 2003
URL: http://www.southernct.edu/organizations/nesmaa/rdmform1.html
Revised: February 4, 2003

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