Registration Form

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MAA Ohio Section Summer Short Course for 2002
University of Dayton, Dayton, Ohio

June 27-29, 2002

Online Registration Form

Please provide the following contact information.
(All registrations received after May 17, 2002 will be accepted on a space available basis)

First Name:
Last Name:
Institution/Affiliation:
Street Address:
Address (Line 2):
City:
State / Province:
Zip/Postal Code:
Telephone:
FAX:
Email:
Please submit check for $150 registration fee made payable to University of Dayton and mail to: Dr. Thomas Gantner Department of Mathematics University of Dayton Dayton, OH 45469-2316

The "Submit" button will send all your answers to Thomas Gantner as Email.
 

NOTES:
1. If you must cancel your reservation, please do so by phone (937-299-3071)
or by email to Tom Gantner(gantner@udayton.edu) by May 17, 2002. 

2. If you do not receive confirmation in the next week or so that your submission has been received, please contact Tom Gantner via Email (gantner@udayton.edu).

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