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