Registration Form

Name___________________________________________________________________________

Affiliation____________________________________________________________________

Phone _____________________________E-Mail _____________________________________

MEAL RESERVATIONS MUST BE RECEIVED BY:  April 23, 2004

Friday Luncheon ($12.00)                  Number __________     Cost __________
     (Vegetarian entree - please e-mail)

Friday Banquet ($22.00)                   Number __________     Cost __________
     (Vegetarian entree - please e-mail)

Saturday Breakfast ($7.00)                Number __________     Cost __________

Saturday Luncheon ($12.00)                Number __________     Cost __________

Name(s) of Guest(s) ___________________________________________________________


Section Dues/Registration Fee ($15.00)                          Cost __________

Participants who have already paid their 2003-2004 annual Section dues do not 
need to pay any additional registration fees.  No dues or fees are charged for 
student participants or for family members who do not attend sessions.

                                                      Total Enclosed __________

Please check the category that best describes your situation:
Undergraduate student _____        Graduate Student _____
Educator:  K-12 ____2-year College ____4-year College ____University ___
Business/Industry_____ Government_____  Retired_____
Other (please specify) ______________________________

Make your check for registration and meals payable to Michigan 
Section-MAA and mail it with this form (or a copy of this form) to:

MAA2004
Department of Mathematics and Statistics                    Phone: 248-370-3430
Oakland University                                            Fax: 248-370-4184    
Rochester, MI 48309-4485                           e-mail: grossman@oakland.edu  

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General Information
Program
Abstracts
Parking, Travel, and Lodging
Meals

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