PRESENTING MATHEMATICAL CONCEPTS
ON THE WORLD WIDE WEB

This form must be received by June 4, 1997. You will be notified if you have been accepted, and your payment will be processed, by June 13, 1997.

You may apply in any one of the following ways:

Print this form by choosing print from the browser menu and mail it to:

Jane Heckler
PRESENTING MATHEMATICAL CONCEPTS
Mathematical Association of America
1529 Eighteenth Street, NW
Washington, DC 20036-1385

You should either include a check for the registration fee or provide the credit card information requested below.
Print this form by choosing print from the browser menu and fax it to:

202-483-5450
You may either complete the credit card information requested below or call Jane Heckler at 1-800-741-9416 with your credit card information.
Use your mouse to highlight and copy the contents of the entire form, and then paste that into email to Jane Heckler. Then fill out the form and send it. You may either include the credit card information requested below or call Jane Heckler at 1-800-741-9416 with your credit card information.

Acknowledgement of the receipt of the form will be made by email so it is essential that you provide your email address.

Registration Form (Please fill this out completely.)

PRESENTING MATHEMATICAL CONCEPTS ON THE WEB July 14 - August 1, 1997
Name
Department
Institution
City		State & Zip
Office phone		FAX
Mailing address (if different from above)
Home phone
Email (required)
URL
Names of other participants from your site with whom you will team up:
Include brief statement (maximum one page) describing: a project you want to do on the Web during this course, your current level of experience with the Web and any other Internet tools, and the equipment you'll be using during the workshop.

MAA members	$350
Others	$400