Registration by email
Full Name
Title:
Organization:
Address:
Phone:
Fax:
Email:
Arrival date:
Departure date:
Registration fee; $75.00
Conference dinner: (6/22) $35x__=
Longwood Gardens: (6/20) $18.50x=
Hagley Museum (6/22) $10.50x=
Total enclosed
Please make checks payable to University of Delaware.
and mail to David O. Olagunju, Dept. of Mathematical Sciences,
University of Delaware, Newark,DE 19716.
Are you a member of an underrepresented minority (optional):
Social Security # (if applying for support):
Registration by post
registration form (postscript)
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