Pre-registration Form
Joint Annual Meetings
Florida Section MAA & FTYCMA
Tallahassee Community College
February 16-17, 2007
     
First Name Last Name
Institution Department
Mailing Address
City State Zip Code
Business Phone Home Phone
Email Address

Circle all that apply.

MAA Member: Yes No  
Faculty: F1 - High School F2 - Two-Year College F4 - Four-Year College
  F5 - University FR - Retired  
Other: B - Business G - Government I - Industry
Pre-registration (on-site registration is $20.00)   $15.00  
Luncheon (Saturday, February 17, 2007) $  9.00  
Banquet (Friday, February 16, 2007) $16.00  
Total     Make check payable to "Florida Section MAA"  

Send check and Pre-registration Form by February 2, 2007 to:

John Waters Jr.
Department of Mathematics
Manatee Community College
8000 S. Tamiami Tr.
Venice, FL  34293

Note:  Pre-register by February 2, 2007, to be entered into a random drawing for six $50.00 awards.  Only one entry per person is allowed.  For additional information, contact John Waters Jr. at watersj@mccfl.edu or (941) 408-1492.