2000 NYSMATYC ANNUAL CONFERENCE REGISTRATION FORM
NOTE: You must be a current member of NYSMATYC to register for this conference. If you aren't, you'll need to include dues for the 2000 calendar year.
A. NYSMATYC Membership Information:
Name _________________________________________________________
College Affiliation __________________________________________
e-mail address _______________________________________________
__ I am a NYSMATYC member for the 2000 calendar year.
__ I am not a NYSMATYC member for 2000. Add membership dues:
__ Regular $15 __ Retired $10 __Adjunct $10 DUES: $___________
If you are not sure if you are a member of NYSMATYC for 2000, e-mail Ken Mead at kjmead@sunygenesee.cc.ny.us
If you are not a NYSMATYC member, please include your preferred mailing address:
Address ___________________________________________________
___________________________________________________
B. Registration Information - early registration fees must be received by March 17, 2000
Before March 17 After March 17
Please circle appropriate amount.
Registration fee $25 $30
Registration fee for Presenters $12.50 $15
Student fee (membership not required) $ 5 $ 5
REGISTRATION FEE: $___________
Check all that are appropriate:
__ Presenter __ Presider __ Campus Representative
___ We will be making a list of conference attendees available to conference registrants (with name, college, and e-mail address). Check here if you DO NOT want your name on that list.
Name to be printed on name tag ________________________________
Name of guest ______________________________________________
(Guests may attend free of charge if they are not eligible for membership in NYSMATYC. Please be sure to include payment for guests' meals).
C. Registration for Computer Workshop: Spreadsheets - an EXCELlent Way To Do Statistics No Charge, but you must pre-register. Limited to the first 25 registrants. Circle one:
Fri, April 7, 10:00 am to 12 noon OR Sun, April 9, 9:00 a.m. to 11:00 a.m.
D. MEALS
Note: Friday lunch, Friday dinner, and Saturday dinner are on your own. The meals below are optional, but we strongly encourage you to dine with your fellow NYSMATYC members. Meal tickets may be sold on day of event subject to availability.
For Saturday afternoon Banquet, circle one entrée choice:
Fish Chicken Vegetable Plate
Please circle appropriate amount(s):
Before March 17 After March 17
Option 1: Meal Package:
Breakfast Saturday, April 8 Banquet Saturday, April 8 $37 $43 Breakfast Sunday, April 9
Option 2: Individual Meals:
Breakfast Saturday, April 8 $6 $7
Banquet Saturday April 8 $27 $31
Breakfast Sunday, April 9 $6 $7
TOTAL MEALS: $ __________ $ __________
TOTAL Registration Fees & Dues $ __________ $ __________ (from previous page) :
Total Amount Due: $ __________ $ __________
Please send this completed sheet, along with a check made payable to "NYSMATYC" to: Ken Mead, NYSMATYC, Genesee Community College, Batavia, NY 14020.