CCA Conference Registration Form

Name:

Department and Institution:


Address:



Phone:

Email Address:

REGISTRATION FEES:

If received by July 1, 2009

$50.00

$30.00 (Students and Retired or Unemployed Mathematicians)

If received after July 1, 2009

$60.00

$40.00 (Students and Retired or Unemployed Mathematicians)

Registration fee includes one banquet dinner cruise. Additional banquet tickets may be purchased for non-registered guests for $40 per ticket.

$40.00 X (__) (Additional banquet dinner cruises for non-registered guests)

Make checks payable to:

Department of Mathematical Sciences

Mail completed Registration Form and fees to:

First CCA Conference
Department of Mathematical Sciences
1400 Townsend Drive
Houghton, Michigan 49931

Cancellation Policy

Full refund, less 10%, will be made if request is received at least 24 hours
before the start of the conference. No refunds will be made thereafter.