MAA's Mathematical Study Tour Celebrating the 300th Anniversary of Euler's Birth

Mathematical
Association of
America

TO REGISTER:

MAIL: Send completed form with $500 per person deposit to the following address:

Attn: Lisa Kolbe
Mathematical Association of America
1529 18th St.,NW
Washington, DC 20036

FAX: Fax completed form to us at:(202) 293-3412

ELIGIBILITY: Participation is a benefit of membership. Only one membership per household is required.

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Last NameFirst NameDr/Mr/Mrs

Street

CityStateZip

(Area Code) Day Phone(Area Code) Evening Phone

Email Address

Name for Badge

PAYMENT INFORMATION

I am enclosing my check payable to: The Mathematical Association of America

I authorize The Mathematical Association of America to charge my payment to:

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ACCOMMODATIONS

Check One:

I desire to share a room with __________________________ (roommate's name)

I am travelling alone & wish to share a room

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If a roommate cannot be found by the time of final invoicing, the single supplement will be charged.

I prefer a single room, where available, at the supplemental price

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