PUMP 2008 Registration Form

Registration Deadline: July 8, 2008

For methods of payment see www.math.utoronto.ca/PUMP, "How do you register?"

Please print clearly

Last name:________________________________________________

First name:________________________________________________

U of T student number (if applicable):___________________________

Address:__________________________________________________

_________________________________________________________

Telephone number:_________________________________________

E-mail:___________________________________________________

Please remit payment of $600.00 with your registration form to:

PUMP
Ms. Kelly Jay, Associate Registrar
Faculty of Arts and Science
University of Toronto
100 St. George Street, Room 1006
Toronto, ON M5S 3G3
FAX: 416 978-2487

Credit Card Payments

Card type:_______________________________________________

Number:________________________________________________

Expiry date:______________________________________________

Cardholder's signature:______________________________________