Pre-Registration Form

Joint Meeting  

Southeastern Section MAA 

&

SIAM Southeast Atlantic Section  

March 31-April 1, 2006

Sponsored by College of Sciences and Mathematics (COSAM)

Department of Mathematics and Statistics, Parker Hall, Auburn University, Auburn, AL-36849

Contact Information:

Name:                          _______________________________________________________________  

(Please PRINT First and Last name as you wish it to appear on conference badge.)

School Affiliation:       _______________________________________________________________

Mailing Address:          _______________________________________________________________

                                    ________________________________________________________________

Phone: ________________________Email Address: ________________________________________

Please Check all that apply to you                                                                                                                                  

Two-Year College Faculty                Four-Year College Faculty                University Faculty      

Undergraduate Student                    Graduate Student                               High School Teacher 

Working with Business/Industry/Government                      MAA Member

Conference Fees:

Please complete the following and total the amount of fees for your registration:

Meeting Registration Fees                            Before 10 March        After 10 March            Check ONE:    

College/university faculty                                    $25                               $30                   _____________

College/university students, emeritus faculty       $10                               $15                   _____________

High school teacher                                           $15                               $20                   _____________

High school student                                           free                               free                   _____________

Meals                                                                                                                                       Check all that apply:

Social Event                                                      $22                               ---                   _____________

            (Friday evening--Reception followed by dinner at The Hotel at Auburn University and Dixon Conference Center)

Boxed Lunches for Saturday           $10 Each                       ---                  _____________

            (Boxed lunch will be from Subway and must be reserved in advance.)

Total Fees                                                                                                      $         _____________

Please write a check in the name of Department of Mathematics & Statistics, Auburn University\ MAA-SIAM for the Total Fees, and mail along with the registration form to:

MAA-SE Annual Meeting, Attn:  N. K. Govil

Department of Mathematics & Statistics

Auburn University, Parker Hall, Auburn, AL36849

If you have questions, please contact: 334-844-6558 (voice) or by e-mail  govilnk@auburn.edu.

NOTES:

v      For housing and more detailed information about the conference, Auburn University, or the Auburn area, please visit the conference website at: http://www.auburn.edu/~govilnk/maa-siam1/

v     You may register for a SHORT COURSE by completing a separate form.  Please check the Section newsletter or the conference website.

      v  For information about Project NExT sessions, contact Julie Barnes (jbarnes@weu.edu) or Rob Harger (rharger@highpoint.edu) and visit http://math.highpoint.edu/NExT-SE