RESPONSE FORM

           Name: 
School/Org:
Mailing Address:

City: State: Zip:

Daytime Phone:
Evening Phone:
Fax:

Email:

Please check each appropriate box

 MATH, SCIENCE, AND TECHNOLOGY MONTH
     I may be interested in sponsoring an event.

 AFFILIATION
     Yes, I would like to become an Affiliate of the Coalition and receive a coffee mug.
     Please mail your check for $25, along with your Name and Address to...
          NJ Mathematics Coalition
          P.O. Box 10867
          New Brunswick, NJ 08906     

 PRESENTATION
     I would like to obtain a speaker
     for  (organization)
      on  (date)

 ANNUAL MEETING
     I plan to attend the Annual Meeting on November 21, 1996.

 CURRICULUM FRAMEWORK
     I would like to recieve a copy of the New Jersey Mathematics Curriculum Framework

Comments:

Note: If you prefer, you can print out this Response Form, and mail it to...

NJ Mathematics Coalition
P.O. Box 10867
New Brunswick, NJ 08906