Name: 

     School/Org: 

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           City:   State:   Zip: 

  Daytime Phone: 

  Evening Phone: 

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 WORKSHOPS BASED ON THE STANDARDS
      I would like more information on the K-4 workshops June 30 - July 3
      I would like more information on the 5-8 workshops August 20 - 27

 STANDARDS DISSEMINATION PROJECT for grades 5 through 8 (July 7-18)
     I would like to recieve an application to participate in the program

 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)

 CURRICULUM FRAMEWORK
     Yes, I would like a copy.
     Please mail $3 (to cover postage) to the address below.

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