Name:

School/Business:

Address:

Phone:

E-mail:

MAA member: Yes No

Check all that apply:

	Conference Registration and Dues	$25
	Short Course on Friday afternoon	No charge
	I would like to give a talk at the meeting. Please submit an Abstract Form to John Wilson by February 28, 2005.	No charge
	Friday Banquet	$14
	Friday Invited Address	No charge
	Aftermath on Friday evening after the Invited Talk	No charge
	Saturday Invited Address	No charge
	Saturday Business Luncheon	$7
	TOTAL ENCLOSED checks payable to the KY Section of MAA

Deadline for advance registration is: March 15, 2005.

Submit to: Daylene Zielinski, Dept of Mathematics, Bellarmine University, 2001 Newburg Road, Louisville, KY 40205, dzielinski@bellarmine.edu