Southwestern Region

REGISTRATION
Return to:
MAA Conference
c/o Dept
of Math
New
Socorro NM 87801
Name: _________________________________MAA
member? Yes ___ No ___
College or University: ________________________________
Student? Yes ___ No ___
Address: _________________________________
_________________________________
_________________________________
Telephone: _______________________ fax: _________________________
e-mail: _________________________________
Registration fee $10 ________
Banquet: #_______*$20 = ________
Guest (name) ____________________________
Entrée selections: Beef Wellington ____
Eggplant
Parmesan ____