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2008 PCUMC Registration Form


REGISTRATION DEADLINE:  MARCH 28, 2008!

Registration is free for all participants!

The deadline for pre-registration has passed. You can still register for the conference! However, free lunch is not guaranteed for participants who register after the deadline. Lunch will be available for purchase by participants who did not pre-register. All other conference events will be open to all registered participants.

  1. Please provide the following contact information:

    Name
    Organization
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Work Phone
    E-mail
  2. Choose one of the following options:


  3. If you are a student, are you applying to give a student talk?


  4. If yes, will you be jointly presenting with another student?


  5. Please enter the names of joint presenters:


  6. Please enter your title in the space provided below.


  7. Please enter your abstract.

  8. If you are applying to give a talk, do you prefer to give a 15 or 20 minute talk?

  9. If you are applying to give a talk, choose a T-shirt size:
  10. Would you like a vegetarian option for lunch?

  11. The following questions will help us with reporting to our funding sources. We appreciate your willingness to answer them.

    1. How would you identify yourself?

    2. What is your gender?

  12. Are you a student requesting travel support?

If you answered yes to #12, please provide the following by Friday, March 14, 2008:

    1. An estimated budget of your travel expenses, including airfare, ground transportation, lodging, and support from your home institution.
    2. A letter from your academic advisor or department chair explaining that your institution cannot cover all of your travel expenses.

The items can be provided by email to ncameron at lclark dot edu OR by US mail to Dr. Naiomi Cameron at:

Department of Mathematical Sciences
Lewis & Clark College
MSC 110
0615 SW Palatine Hill Road
Portland, OR 97219

 

Thank you for registering. Please visit our Bulletin Board page for conference updates and participant feedback.


Pacific Coast Undergraduate Mathematics Conference
Copyright © 2006 [PCUMC]. All rights reserved.
Revised: September 20, 2006 by ntc