Registration Form:
Great Lakes Geometry Conference
April 17-18, 2004
(Registration deadline: March 31, 2004)

University of Notre Dame

Contact Information:

Please provide the following information. Fields with an asterisk require input.

* Name
* Institution
* Email
* Dates of Attendance
* Address

Do you wish to be considered for possible partial support of local expenses? Yes No

Are you a graduate student? Yes No

We would like to organize a dinner on April 17th. Are you interested in attending it? Yes No

Please include dietary restrictions if any

 

The deadline for registration is March 31, 2004. Click on the Submit button below to submit this form electronically or you may print and mail this form to:

Great Lakes Geometry Conference
Attn: Liviu Nicolaescu
University of Notre Dame
Department of Mathematics
224 Hayes-Healy Hall
Notre Dame, IN 46556
USA