Eighth Annual Meeting

Penn State University
University Park, PA

Friday and Saturday, March 26-27, 2010 

Download as .pdf file.  

The downloaded registration form is an editable pdf file, which you can fill out on your computer, print, and then send to the MTSMA treasurer with payment.


MTSMA REGISTRATION FORM  2010

 

Name(s) 1________________________________ 2___________________________________

Institution(s) 1_____________________________ 2___________________________________

Email Address(es) 1_________________________    2_________________________________

Mailing Address(es) 
1____________________________________________________________________________

2____________________________________________________________________________

Banquet, Friday, March 26, 6:00 p.m. ($25 per person)
Deans Hall, Penn Stater Conference Center Hotel

  How many?   _____      Total:  $ ______

If you will attend the banquet, please choose one of the following:

chicken _______                        fish _______                        vegetarian _______


Luncheon, Saturday, March 27, 11:45 a.m. ($10 per person)

Zoller Café, Visual Arts Building, Penn State University

  How many?   _____     Total:  $ ______

If you will attend the luncheon, please choose one of the following boxed lunches:

roast turkey and provolone sandwich _______
roast beef and cheddar sandwich _______
Thai curry chicken wrap _______
Asian vegetable wrap _______

(All boxed lunches include one side salad, a bag of chips, two cookies, and a bottled water or can of Pepsi.)

 

The Penn Stater Hotel will provide complimentary shuttle service from the hotel to the Penn State campus on Saturday, March 27th. Please let us know if you would like to use this service:

Yes _______                                                No _______

 

Registration (There are no dues. Automatic membership is by attendance or by e-mailing a request to Vincent Benitez at: vpb2@psu.edu)

$50 if postmarked by March 15; $60 after that or at the door**

  How many?  ______      Total:  $ ______

$15 (for retired people, students, and those not presently employed)

  How many?  ______      Total:  $ ______
   
    Grand Total: $_______
   

**Those who mail this registration form by March 15th will be included on the list of pre-registrants to be distributed at our meeting. Please register as soon as you can so we can plan the refreshments, dinner, luncheon, and transportation for you.

Please also note that the Penn Stater will hold rooms for us at the conference rate until February 23rd.

Please mail this form along with your check made out to MTSMA to:

Dan Zimmerman, MTSMA Treasurer
5597 Seminary Rd.
Apt. 2411
Falls Church, VA 22041

 

Link to the Hotel Registration page

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