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 April 6, 2004, the deadline for this (rescheduled) dinner meeting.
To register, send this form with a check for $18.00 per person, payable to ARAMARK, to
Professor Donna Beers
Department of Mathematics
Simmons College
300 The Fenway
Boston, MA 02115
.
Name:__________________________________________________
Institution:_______________________________________________
Address:________________________________________________
______________________________________________________
Telephone: (W)__________________ (H)__________________
E-mail:__________________
Do you plan to park at Simmons? YES ______ NO ______
Choice of entree: Chicken with lemon & artichokes______ Eggplant
Parmesan ______
Return to NES/MAA
Regional Dinner Meetings - Spring 2004
URL: http://www.southernct.edu/organizations/nesmaa/rdmformsimmons2004.html
Revised: March 20, 2004
"The views and opinions expressed in this page are strictly
those of the page author and have not been reviewed or approved by Southern
Connecticut State University."