Your Name ______________________________________________________

School/University Address _________________________________________________

Conference Fees
SSHEMA Faculty $25 before April 21
$31 after April 21
SSHEMA Students Free
One Day Guest $15 Fees ____________

Meals Check all that apply.
Friday Buffet $13
Meat Lasagna, Stuffed Shells, Pasta Noodles with Meatballs and Marinara Sauce

Saturday Lunch $11 check one
Pollo Scaloppine ala Diva
Medallions of Chicken Sauteed with Sundried Tomato, Pine Nuts, Shallots, Fresh Basil, and Laced with a Brandy Flavored Demiglaze
Ravioli ala Opera
Cheese Ravioli with Mushrooms, Onions, and Peas Tossed in a Wine Meat Sauce
Special Requirement Meal please describe Meals ____________

Conference Fees and Meals TOTAL Total ____________

Workshops Space is limited. Assign “1” to your highest priority choice.
Geometer’s Sketchpad, introductory, Friday 4:00 - 5:00
Geometer’s Sketchpad, intermediate/advanced, Saturday 8:30 - 9:45
Fathom Software, Saturday 10:00 - 11:15
ALEKS, Saturday 10:00 - 11:15

Are you making a presentation? Yes/No _______

Checks Pay to the order of SSHEMA.
Send C/O Stephen Gendler, Mathematics Department, Clarion University, Clarion, PA 16214