The "Tall Grass Prairie" Symposium -- Payment Form
This
form should be included with your check for for registration fees and/or Room
and Board.
Please fill out this payment form, attach your check and mail to:
Professor
Patrick Reardon, Director
re. The "Tall Grass Prairie" Symposium
Department of Mathematics
Southeastern Oklahoma State University
1405 North 4th
Durant, OK 74701
Contact Information
Name:
Mailing Address:
Day Telephone:
Night Telephone:
Fax Number:
e-mail:
Registration Fees
Your registration includes the use of conference facilities, meals on
campus, refreshments, a Thursday afternoon excursion, and one ticket for the
banquet on Friday evening. If you wish to purchase a ticket for your
accompanying guest to attend the excursion on Thursday and/or the banquet on
Friday, these tickets can be paid for now or when you arrive on campus.
Lodging and Meal Fees
Please note that there is no hospital on campus, nor are there any medical personnel on campus. If you have any medical condition that you would like to inform the conference director about, please email me at this address ( preardon@se.edu.) or contact me upon arrival at the conference.
Check in will take place at the Student Union Building. Campus signs will direct you.
Is there someone with whom you would like to share a room? Most rooms are 4 bedroom
suites but doubles and singles are available..
Name:
All prices are per person in a shared four bedroom suite.
Please itemize your payment below:
2.
Lodging for yourself:
3.
Lodging and/or Meals for guest:
4.
Additional Excursion Ticket:
5.
Additional Banquet Ticket:
Total Included:
Please contact Professor Reardon directly at
Payment together with a copy of this form may be sent to:
Professor Pat Reardon, Director
re. The "Tall Grass Prairie" Symposium
Department of Mathematics
Southeastern Oklahoma State University
1405 North 4th
Durant, OK 74701