APPLICATION : NWMI MINICOURSES 2001

Print out this application, fill in all items, and send it with your payment to the address below.

Name ______________________________________________

Home Address _______________________________________

____________________________________________________

Check your choice of courses (max of one per session):

Session A. August 13-14.
Fractals ___________

Spherical Geometry ___________
Session B. August 15-16.
Escher Puzzles _____________
Graph Theory  ______________
Geometer's Sketchpad _______

Housing on campus? (One night for one course, three nights for two for no additional charge.)

Yes _______ No ________ .

School ______________________________________________

School Address _______________________________________

_____________________________________________________

Phones

Home (____) ______________ Work (____) ______________ Fax (____) ______________

Email ________________________________________

Signature ____________________________________

Please include a check or PO for $100 (for one course) or $200 (for 2 courses) payable to Dept. of Math, University of Washington. (Sorry, no credit cards.)

Mail to:

NWMI
University of Washington
Department of Math, Box 354350
Seattle, WA 98195-4350

Phone: (206) 543-1915 Fax: (206) 543-0397
Email: nwmi@math.washington.edu
Web page: http://www.math.washington.edu/~nwmi