NES/MAA Regional Dinner Meetings - Spring 2005

Registration Form for the dinner meeting at Providence College
on Thursday, April 21, 2005

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 in the registration so that it will arrive by April 15, 2005,  the registration deadline for this dinner meeting.

To register, send this form with a check for $20.00,  payable to Providence College ,   to

Frank Ford
Dept. of Mathematics/Computer Science
Providence College
Providence, RI 02918
 
Name:_____________________________________________
 

Institution:_________________________________________
 

Address:___________________________________________
 

 ____________________________________________
 

Telephone:    (W)_________________         (H)__________________
 

E-mail:____________________________________________
 
 


Return to NES/MAA Regional Dinner Meetings - Spring 2005

URL: http://www.southernct.edu/organizations/nesmaa/rdmformprovidence2005.html
Revised: March 11,  2005

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