Midwest Number Theory Conference for Graduate Students and Recent PhDs II
February 5-6, 2005
Department of Mathematics
University of Illinois at Urbana-Champaign


REGISTRATION FORM

Name:

Affiliation and position:

Postal Address:

E-mail:

Phone:

Contact in case of emergency:

Would you like to give a talk?

If known, where will you be staying during the conference?

Would you like to participate in the pizza party Saturday evening?

 

In order to complete your registration, please send a check for the registration fee of $10 made out to:
Jennifer Paulhus
Department of Mathematics
University of Illinois
1409 W Green Street
Urbana, IL 61801

   



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