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Section Meeting Registration Form

Seaway Section of the MAA

Joint Meeting of the
Seaway and Metropolitan New York Sections
Registration Form

Marist College
October 13-14, 2006

Print this form, fill it out, and mail it along with your check to the address below. (Note that checks have to be made out differently depending on the section in which you are residing.)

Reservations with payment must be received no later than Wednesday, October 4, for dinner and lunch. Registration will be available at the meeting, but meals will only be available for those who have registered by October 4.


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 ___   train___   other (specify)_________________________

Registration fee _____@ $10 $_____
Friday buffet dinner _____@ $30 $_____
Saturday buffet lunch _____@ $15 $_____
Total   $_____

Dinner and lunch reservations, with payment, MUST be received by WEDNESDAY, OCTOBER 4, 2006.

NOTE: There is NO registration fee for STUDENTS. Students who register by Wednesday, October 4, qualify for a free lunch on Saturday.

Do not send cash. Please pay in U.S. funds.
If you are residing in the Seaway Section, make checks payable to: Seaway Section, MAA.
If you are residing in the Metropolitan New York Section or any other section different from the Seaway Section, make checks payable to: The MAA.
Mail completed form with payment to:
Joe Kirtland
Department of Mathematics
Marist College
Poughkeepsie, NY 12601-1387
845-575-3000 ext 2602
845-575-3605 (fax)
Joe.Kirtland@marist.edu

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