Name (to appear on name tag): ____________________________________________________
Academic Affiliation: ______________________________________________ Faculty
[ ] Student/Emeritus [ ]
Mailing Address: ________________________________________________________________
City/State/Zip: ___________________________________________________________________
Is this a change of address? NO [ ] YES [ ]
Telephone: (w) _________________________ (h) ______________________________
E-mail address: __________________________________________________________
Registration Fee
Before
30 April: Regular Participant $25; Student/Emeritus $15 $______
After
30 April: Regular Participant $30; Student/Emeritus $20
$______
Dinner Buffet (Saturday, May 18, 6:00 p.m.): _____ persons @ $20.00 each $______
Komar Award
Contribution to help support the Arthur Komar Award for best graduate student paper
$______
Total Amount Enclosed (Check payable to "MTMW" ) $______
Michael CherlinFor more information about local arrangements: <cher1001@tc.umn.edu>
MTMW local arrangements
100 Ferguson Hall
2106 Fourth Street South
Minneapolis, MN 55455