MAA Registration Form

Name:
Affiliation:
Phone:
E-mail:

Meal reservations must be received by April 27, 2012.
Friday Lunch ($13.00) Number: Cost:
Friday Banquet ($25.00) Number: Cost:
Saturday Luncheon ($13.00) Number: Cost:
Registration Fee ($25.00) Cost:
Section Dues ($15.00) Cost:
Total Cost:
Name(s) of Guest(s):
Please indicate any special dietary needs:

All faculty members must pay the registration fee. Faculty members who have not yet paid their section dues should also pay them at this time. No fees or dues are charged for student participants or for family members who do not attend sessions.

Please check the category(ies) that best describe your situation:
MAA member
Faculty member at a college or university with highest mathematics degree offered:
Associate Bachelors Masters Doctorate
Business, industry, government
High school teacher
Undergraduate student
Graduate student
Other (please specify)

Checks for registration and meals should be made payable to SVSU/Michigan MAA and mailed to the following address:

Nancy Colwell
Department of Mathematical Sciences
Saginaw Valley State University
University Center, Mi 48710