Pre-Registration Form -- Spring 2003 NES/MAA Meeting ,  June 13-14, 2003

On-line registration is NOT available.  However, you can print out this form and mail it to Freda Bennett at the address below.  If you have questions about registration, you can also contact her at FBennett@mcla.mass.edu  or at 413-662-5364.  Checks should be made to: NES/MAA.     Mail this form so that it will arrive by June 5th (May 30th if requesting dormitory housing) to : Please pre-register! You may register at the meeting if you wish; however, it would help to plan the meeting if you pre-register by mail and it will save you money in that on-site registration fees are five dollars more than pre-registration fees.  Meals cannot be guaranteed unless reservations are received by Thursday, June 5, 2003.  Dormitory housing cannot be provided unless this form is received by Friday, May 30th.   It may not be possible to buy tickets to the banquet or lunch at the meeting.  Spouses and guests are welcome at all meals.  Hotel reservations must be made directly with the hotel.

PRE-REGISTRATION (please type or print):
Name:

Name as you want it to appear on your name badge:

Affiliation:

Address:
 
 
 

Telephone:

E-mail:

Pre-registration Fee:
   MAA Member ($25.00)
   Non-member ($30.00)
   Student or unemployed ($10.00)                            $ _________
Meals
   Reception and Banquet Friday ($22.00 per person)          $ _________
      Choose one:  
       Chicken Breast Picatta ___    Vegetarian Lasagna ___
 
   Sandwich Buffet Luncheon on Saturday ($12.00 per person)  $ _________
Dormitory room ($59 for Friday night)
                      Number:  ______                        $ _________

Total:                                                       $ _________

Are you attending Section NExT on Friday morning?      Yes ____    No ____

Return to  Spring 2003 NES/MAA Meeting page.
Return to NES/MAA Home page
Return to NES/MAA Section Meetings Page.


E-mail:gingrichr1@southernct.edu
URL:  http://www.southernct.edu/organizations/nesmaa/registrationformspring2003.html
Revised: April 2, 2003

 "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."