The Walla Walla Symposium -- Payment Form
This form is for registration fees only.
Lodging will be paid at the time of on-site registration.
The payment form should be filled out and either
mailed or faxed (1-509-527-5039) with your registration fee to:
Professor Russell Gordon, Director
The Walla Walla Symposium
Department of Mathematics
Whitman College
345 Boyer Avenue
Walla Walla, WA 99362-2083
USA
Contact Information
Name:
Mailing Address:
Day Telephone:
Night Telephone:
Fax Number:
e-mail:
Social Security Number
Registration Fees
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Regular Registration (received prior to May 23) $140
-
Late Registration (after May 22) $160
(All but $10 is refundable if cancelled by June 15.)
Your registration fee includes the use of conference facilities,
refreshments, a Thursday afternoon outing, and one ticket for
the traditional Friday evening banquet. If you wish to purchase a
ticket for your accompanying guest to join us for the outing on
Thursday and the banquet on Friday, the combined tickets are
available for $35 per person.
How many additional combined tickets will you need? _______
-
Personal Check (made out to Whitman College)
-
Money Order (made out to Whitman College)
-
Please contact Professor Gordon directly at
gordon@whitman.edu
if you are required to pay with a credit card or if you have questions
concerning payment.
Payment together with a copy of this form may be sent to:
Professor Russell Gordon,
Director
The Walla Walla Symposium
Department of Mathematics
Whitman College
345 Boyer Avenue
Walla Walla, WA 99362-2083
USA