SEAWAY SECTION OF THE MAA
Registration Form
April 27-28, 2007
Print this form, fill it out, and
mail it along with your check made out to MAA
Seaway Section to the address below. All checks must be in U.S. Funds.
Reservations with payment must be received no later than Wednesday, April 18, for dinner and lunch. Registration will be available at the meeting, but meals will only be available for those who have registered by April 18.
Name:
_______________________________________________
Institution:
____________________________________________
Address:
______________________________________________
City: __________________________
State: __________ Zip: ________________
Phone Number:
_________________________________
E-mail Address:
_________________________________
Check all categories that apply:
MAA Member: ____ NYSMATYC
Member: ____
Secondary Teacher: ____ Two-Year
College Faculty: ____
Four-Year College Faculty: ____ University
Faculty: ____
Business/Industry/Government
Employee: ____ Graduate Student: ____
Undergraduate Student: ____ High
School Student: ____
For planning purposes, please
check:
I am planning to arrive by: Car ____ Other
(specify) _______________________
Registration fee ____@ $15 $_____
Friday Sit-Down Dinner
Entrée Choices
Chicken
Mediterranean ____@ $25 $_____
Roast
Prime Rib of Beef ____@ $25 $_____
Tabouli
(vegetarian) ____@ $25 $_____
Saturday Buffet Lunch ____@ $12 $_____
Total $_____
Dinner and lunch reservations,
with payment, MUST be received by WEDNESDAY, APRIL 18, 2007.
NOTE: There is NO registration fee for
STUDENTS. Students who register by
Wednesday, April 18, qualify for a free lunch on Saturday.
Do not send cash. All checks
must be in U.S. funds and payable to MAA
Seaway Section. Mail completed form with payment to:
Leo
Alex
Department
of Mathematics, Computer Science & Statistics
SUNY
College at Oneonta
Oneonta,
NY 13820
607-436-3708
607-436-2173
(FAX)