ETOPIM 6: Student's Registration Form

ETOPIM 6 Student and Postdoc Registration

instructions

There is a reduced registration fee of US$150 for students and postdocs. This does not include the banquet but does include a copy of the conference proceedings and refreshments during the coffee breaks. Tickets to the banquet and to the Wednesday afternoon tour can be purchased separately. Payment must be made via money order or check drawn on a US bank. Due to processing difficulties, payment through paypal is no longer possible. Please note that we will not have the ability to process credit card payments at the conference site.

Student and postdoc participation is partially supported by external funding. To be qualified for the student/postdoc rate, please mail us a copy of your student ID or a one sentance letter on letterhead from your postdoctoral advisor.

Participant

Contact Information

Postal address:
Phone
Fax
Email

Fees

Student Registration Fee:	$150
Wednesday afternoon bus tour:	$20 per person. No of tickets ( if you do not want tickets, insert "0" in the box )
Banquet tickets:	$60 per person. No of tickets ( if you do not want tickets, insert "0" in the box )

The student/postdoc registration fee only includes conference proceedings and the coffee breaks.
The cost of the banquet ticket includes bus transport and admission to Red Butte Gardens.
The payment should be mailed to the conference coordinator, Eleen Collins.
Accommodation should be booked directly with Snowbird
At Snowbird, a limited number of rooms are available at discounted (student) rates. Please contact the organizers.

Notification

I am sending or have sent

The check/money order payment for $, in US currency, payable to Department of Mathematics, University of Utah
Photocopy of my student ID card or a one sentance letter on letterhead from my postdoctoral advisor

to the following address:

Ms. Eleen Collins
University of Utah
Department of Mathematics
155 South 1400 East, JWB 233
Salt Lake City UT 84112-0090 USA
on (date)

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