NES/MAA Regional Dinner Meetings - Spring 2006

Registration Form for Dinner Meeting at the College of the Holy Cross on March 22, 2006

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 Monday, March 13, 2006,  the registration deadline for this dinner meeting.

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

Name:______________________________________________
 

Institution:__________________________________________
 

Address:____________________________________________
 

   ____________________________________________
 

Telephone:   (W)___________________       (H)_________________
 

E-mail:__________________
 

Choice of entree:     Poached Salmon_____    Chicken Marsala ____    Vegetarian  ______
 



Return to NES/MAA Regional Dinner Meetings - 2006
URL: http://www.southernct.edu/organizations/nesmaa/rdmformholycross2006.html
Revised: January 28, 2006

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