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{\Large\bf Kentucky Section of MAA Annual Meeting\\
Student Registration Form}\\
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{\large Murray State University, Murray}\\
{\large April 2 - 3, 2004}\\
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Name: \quad \hrulefill\\

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School: \quad \hrulefill\\

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E-mail: \quad \hrulefill\\

\noindent
I am: \hfill\hfill
$\underline{\mbox{\hspace{.5in}}}$Fr\hfill
$\underline{\mbox{\hspace{.5in}}}$So\hfill
$\underline{\mbox{\hspace{.5in}}}$Jr\hfill
$\underline{\mbox{\hspace{.5in}}}$Sr\hfill
$\underline{\mbox{\hspace{.5in}}}$Grad\\
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Check all that apply:\\

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$\underline{\mbox{\hspace{.5in}}}$\ \
I would like to attend the Friday evening banquet.\\
\hspace*{1in} Please enclose \$ 7 for dinner\\
\hspace*{1in} payable to the KY section of the MAA.\\

\noindent
$\underline{\mbox{\hspace{.5in}}}$\ \
I could use some help finding a place to sleep.\\

\noindent
$\underline{\mbox{\hspace{.5in}}}$\ \
I would like to give a talk on Friday afternoon.\\

\noindent
$\underline{\mbox{\hspace{.5in}}}$\ \
I would like to give a talk on Saturday morning.\\

\noindent
$\underline{\mbox{\hspace{.5in}}}$\ \
I would like to attend the MAA business luncheon on Saturday afternoon.\\
\hspace*{1in} Please enclose \$ 4 for lunch\\
\hspace*{1in} payable to the KY section of the MAA.\\
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If you would like to give a talk at the meeting:\\
please submit the Presentation Abstract Form to John Wilson by March 1, 2004.\\
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The information on this form must be received by March 17th.\\
Submit to:\quad Dora Ahmadi, Dept of Math, Morehead State University,\\
\mbox{} \hfill Morehead, KY 40351
\hfill Phone:\ \ (606) 783 - 2919 \hfill \mbox{}\\
E-mail submissions are encouraged! \hfill
E-mail:\ \ d.ahmadi@morehead-st.edu \hfill \mbox{}


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