Registration Form MAA-SE Spring 2009 Meeting

Pre-Registration Form
Southeastern Section MAA
Elon University
Elon, North Carolina
March 26-27, 2010

Contact Information
First Name:	Last Name:
	(First and Last name as you wish it to appear on conference badge.)
School Affiliation:	State:
Phone:	Email Address:

Occupation:
Highest Degree Offered:		College/University Faculty please select the highest Mathematics degree offered at your institution.
Are you an MAA Member? Yes No Are you under the age of 21? Yes No

Conference Fees
Meeting Registration Fees	Up to March 1	After March 1	Amount

Select fee level
College/University Faculty, Industry, Government	$25	$35
College/University Student, Emeritus Faculty	$10	$15
High School Teacher	$15	$20
High School Student	free	free
SOLD OUT
Conference Dinner $24 each $18 each for students
Number attending
Total Fees

If you have any questions, please contact Professor Jim Beuerle
Phone: 336-278-6284, Email: maase2010@elon.edu.