Registration Form

The Fourth Conference on Function Spaces at SIUE

May 14-19, 2002

The on-line registration form may not work properly on some servers. If you get an error message send the registration information by email to Krzysztof Jarosz at kjarosz@siue.edu 

Contact Information

Name: (required)
E-mail: (required)
Phone:
Fax:
Personal WEB page

Affiliation
Department
Departmental WEB page:
University (required)
City
Street
State or Country
ZIP Code

Travel

The lectures will start at 9am on Tuesday May 14, 2002. We will meet the participants at the Lambert International Airport in St. Louis.

Check here if you plan to drive.

Check here if you plan to fly and need transportation from or/and to the airport.

Arriving Departing
Date:
Time:
Flight #:
From/To:

TALK
 

Would you like to give a talk: 
Yes 
No 
Maybe		 Preferred length of the talk: 
Title: 

Abstract (use plain TEX or plain LATEX; do not exceed half page)

I intend to submit, by September 1, 2002, a paper based on my talk for the Proceedings of the Conference to be published with AMS in the Contemporary Mathematics series.  Yes  No  Maybe 

Accommodation

 I will make my own arrangements.
I request accommodation in a two bedroom & one bathroom unit in the Residence Hall at the SIUE campus: 
 

I would like to share the unit with the following people: 

My gender:Male Female

Registration fee & accommodation payment

I am sending, by regular mail, a check for $100 

The registration fee includes several meals during the Conference at the SIUE campus.

I am sending, by regular mail, a check for $ for my the accommodation to:

K. Jarosz
Department of Mathematics & Statistics,
SIUE
Edwardsville, Illinois 62026-1653
USA
Please make checks payable to: Dept. of Math. and Stat., SIUE .

You can also pay for the accommodation and registration fee at the beginning of the Conference, but it would make it really simpler for the organizer if you sent the payment in advance; if you cancel your reservation/registration before the beginning of the Conference all payments will be returned in full.

We expect to receive a small grant from the  NSF to assists the participants with some of the local expenses, it is intended primarily for participants without other travel funds; contact the organizer for details. 

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URL: http://www.siue.edu/MATH/
Published by: Department of Mathematics & Statistics, SIUE
Last update: December 1, 2001
Maintained by: K. Jarosz - kjarosz@siue.edu