Geometric Analysis and Applications

Geometric Analysis and Applications
July 12-15, 2006
Department of Mathematics
University of Illinois at Urbana-Champaign

REGISTRATION FORM

There is no official registration fee, but there is a charge if you wish to attend the conference banquet (see below). Pending approval of our application for NSF funding, the banquet fee will be reimbursed.
We have a limited number of slots for contributed talks. If you are interested in giving a talk, please indicate this below and provide a short title and abstract.
We have applied for funding from the NSF. Pending approval, we will be able to support (or partially support) participants. If you would like to apply for funding, please indicate this below and, if applicable, describe any other funding sources you may have.

Name:

Affiliation and position:

Postal Address:

E-mail:

Phone:

I am interested in giving a talk.      I am not interested in giving a talk.
Title and abstract:

I am applying for funding.      I am not applying for funding.
US Citizen      Resident      Non-resident
Other funding sources:

Would you like to participate in the informal conference dinner?
If yes, number of people who will attend the dinner:
Note: There will be a $20 charge per person for the conference dinner (payable on-site).
If known, where will you be staying during the conference:



If you have other questions, please send email to tyson@math.uiuc.edu.