APPLICATION : NWMI SHORT COURSES 2006

Print out this application, fill in ALL items, and send with your payment to the address below.
Name ___________________________________________________________________
Home Address ____________________________________________________________
________________________________________________________________________
Check your choice of courses (max of ONE per session):
Session A. July 31- August 1
Geometry Other than Euclid______
Teaching with Data _____

Session B. August 2 - 3
Pythagorean Theorem_______
Geometer's Sketchpad _______

Housing on campus? Check One! Yes _______ No ________
Your School _____________________________________________________________________
School Address __________________________________________________________________
_______________________________________________________________________________
Phones: Home (____) ____________ Work (____) ____________ Fax (____) ____________
Email ______________________________________________________
Signature __________________________________________________

Please include a check or PO payable to Dept.of Math, University of Washington.

 
ONE Course
TWO Courses
  (until 6/15) (after 6/15) (until 6/15) (after 6/15)
Teach in Washington State $40 $65 $80 $105
Out-of-State (with lodging) $250 $275 $500 $525
Out-of-State (no lodging) $150 $175 $300 $325
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