MAC Registration Form

Mathematics Across the Curriculum
Summer Institute August 20-23, 2002

Registration fee and lodging is $100.00 triple occupancy

Registration due by June 12, 2002 (checks must be received by July 12).

Please mail your check to:
Deann Leoni (FT)
Edmonds Community College
20000 68th Avenue West
Lynnwood, WA 98036

Registration Form

Name

Title/department

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone
This should be your SUMMER contact phone number

FAX

E-mail

URL

Roommate Preference (2)

I have the following special needs with access or diet

Please give a brief summary of your project

Please list sessions and resources you would like at the institute

Name
Title/department
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone This should be your SUMMER* contact phone number*
FAX
E-mail
URL
Roommate Preference (2)
I have the following special needs with access or diet Please give a brief summary of your project Please list sessions and resources you would like at the institute

Mathematics Across the Curriculum Summer Institute August 20-23, 2002

Mathematics Across the Curriculum
Summer Institute August 20-23, 2002