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

Contact Information


Mailing Address:

Day Telephone:

Night Telephone:

Fax Number:


Social Security Number

Registration Fees

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? _______