Registration Form

25^th ANNUAL WPI INVITATIONAL MATHEMATICS MEET
REGISTRATION FORM
To be held on Wednesday, October 17, 2012

Mathematics Meet, Department of Mathematical Sciences, WPI
100 Institute Road, Worcester, MA 01609-2280
(508) 831-5241

Please fill in all requested information:
Name of School:
School Address:
School Phone Number:
Fax:
Name of Faculty Advisor:
Title:
Email:
Team Member 1
First Name:
Last Name:
Home Address:
Date of Birth:
Email:
Grade:
Male/Female:	Male Female
Team Member 2
First Name:
Last Name:
Home Address:
Date of Birth:
Email:
Grade:
Male/Female:	Male Female
Team Member 3
First Name:
Last Name:
Home Address:
Date of Birth:
Email:
Grade:
Male/Female:	Male Female
Team Member 4
First Name:
Last Name:
Home Address:
Date of Birth:
Email:
Grade:
Male/Female:	Male Female
NUMBER TO HAVE LUNCH AT WPI (Limit of 5):
Type in the following two words

Participation in the meet is limited to the first 85 schools whose complete registrations are received by Friday, September 21, 2012. Acceptance letters will be emailed to the advisor. If you do not receive an acceptance letter by email, please contact us at 508-831-5241. Until you receive a confirmation your school is not registered.

For any questions contact:
Rhonda Podell
Tel: +1- 508-831-5241
Fax: +1-508-831-5824
Email: rpodell@wpi.edu

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Last modified: August 15, 2012 11:22:10