CONFERENCE IN FINANCIAL MATHEMATICS
Saturday, April 18, 2015
Farmingdale State College, SUNY
2350 Broadhollow Rd, Farmingdale, NY 11735
REGISTRATION FORM
Participant Information:
Name ______________________________ E-mail Address ___________________________________
University/Institution __________________________________________________________________
Mailing Address _______________________________ City__________________ State ____________
Country ____________ Zip or Post code __________
PLEASE CHECK ALL THAT
APPLY:
Faculty
Graduate Student
Undergraduate Student
Industry/ Government
Business
Retired
PLEASE CHECK AS APPROPRIATE:
Registration including breakfast and lunch $30
Free registration for current Farmingdale faculty and students
Request for kosher meal
Please describe any dietary restrictions:
If you are not a current Farmingdale student, please make checks and money orders
payable to the
ASC Account # 435100
and send with this form to:
Dr. Loucas Chrysafi,
Department of Mathematics, Farmingdale State College,
2350 Broadhollow Rd., Farmingdale, NY 11735.
If you are a current Farmingdale student, please drop this form at Whitman 184 or email to
chrysala@farmingdale.edu.
Registration forms should be received by April 10, 2015