Math Conference 2012 Exhibitor Registration Form

If you are interested in giving a presentation or workshop, please visit the Presenter Registration page after completing this registration form.

First Name:   Last Name:
Company/Organization Website:
Email Address:
Address:   City:
State:   ZIP Code:

Types of materials being displayed:

Please indicate the number of tables you will need:

Refund Policy

90% prior to 4/1
50% in April
No refunds after 4/30

Describe any specific needs: (You must provide your own laptop. Wireless Internet will be available.)


If you would like to eat at the conference, please select from one of the following dinner options for yourself (the price is $100):

Total: $200

Billing Information

I wish to pay by check. (Make check payable to Tacoma Community College Foundation. Write "2012 Math Conference" in memo area. Mail check within a week to: TCC Foundation, Attn: Sharon McCormack, Bldg #6, 6501 S. 19th Street, Tacoma WA 98466.)

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Credit Card Number:  Expiration Date:  
Billing First Name:  Billing Last Name:
Billing Address:
Street:   City:
State:   ZIP Code: