NES/MAA Regional Dinner Meetings - Spring 2003

Registration Form for the dinner meeting at Sacred Heart University
on Wednesday, April 30, 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 in the registration by April 15th,  the deadline for the dinner meeting registration.

To register, send this form with a check for $25.00,  payable to  Sacred Heart University - Math Department,   to

Sacred Heart University
Department of Mathematics
c/o Jason J. Molitierno - MAA dinner
5151 Park Avenue
Fairfield, CT 06825-1000
 
Name:_____________________________________________
 

Institution:_________________________________________
 

Address:___________________________________________
 

 ____________________________________________
 

Telephone:    (W)_________________         (H)__________________
 

E-mail:____________________________________________
 
 


Return to NES/MAA Regional Dinner Meetings - Spring 2003

URL: http://www.southernct.edu/organizations/nesmaa/rdmformshu.html
Revised: February 11,  2003

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