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2017 Leadership Seminar on Mathematics Professional Development

Date: 12/18/2017
Name: Enter your name, email, and the number of registrations you will complete for yourself and/or others. After you complete page 2 of this form, you will receive a confirmation letter that lists ALL individuals whom you register. You may register currently “unnamed” participants in order to secure space for them (instructions are on the next page of this form).
E-mail:
 
Enter sg code if applicable

Number of Registrants:
Fewer than 15 registrants: $645 per registrant if payment/PO received by February 7; $695 after February 7.
15 or more registrants: $615 per registrant if payment/PO received by February 7; $695 after February 7.