KME 2014 National Convention Registration 2

KME 2014 National Convention Registration 2

Online registration form to collect participant information and payment for a national mathematics honor society convention. Form Preview
  • Kappa Mu Epsilon

    2014 National Convention

    Alabama Theta - Jacksonville State University

    Jacksonville, AL  (Alabama)

    April 3-5, 2014

  • Registration Form

    Registration Deadline:   MARCH 7, 2014

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  • Registration Information

    Faculty and Students
  • Please list all participants in your group below; you may add rows as necessary. 

    Write names as they should appear on Name Badges.  Please enter "S" for Students and "F" for Faculty participants.

    *IMPORTANT:  Make sure to click "Add Row" after each name entered (or the last name will not be recorded).

  • General Information

  • Friday Evening Banquet Meal Preferences

  • Payment Information

  • The registration fee is $50 per participant (either Student or Faculty).

  • *If you wish to pay by  Credit Card or PayPal, please select the radio button below, choose the quantity of registration fees (corresponding to the number of names entered above), and click the "Submit" button at the bottom of the form.  You will be redirected to a PayPal website to complete the transaction.

    *If you wish to pay by  Check, do NOT select the radio button directly below, but follow the mailing instructions below that.

  • If mailing a check, make it payable to "KME-JSU" and write "Convention Registration" in the memo line.

    Mail to:

    Dr. David Dempsey
    MCIS Department
    Jacksonville State University
    700 Pelham Road North
    Jacksonville, AL  36265

  • *When you have entered all necessary information on this form, please  CHECK your information and then click the SUBMIT button below.

    **IMPORTANT:  If you do not leave this page after pressing "Submit" you most likely have a notification that a required entry missing--so please scroll back through the form to see if you have such a notification.  Once you have filled in all required information, you should leave this page when you click "Submit."

    *Once you have paid (through  PayPal or with a  Credit Card), you will be able to print your receipt for your records.

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