REGISTRATION FORM

Note to Invited Speakers

Note to Students

Please print this form and mail with registration fee to the address below.

Last:____________________________



 
First:___________________________




M.I.:__________________________
 


 
2. Affiliation:__________________________________________________________



3. Position:_______________________________


 
4. Mailing Address:_______________________________________________________


 
           ____________________________________________________________


 
5. Phone Number:_____________________________


 
6. Email Address:____________________________


 
7. FAX Number:_______________________________


 
8. Registration Fee:

Registration Fee for people staying in the USPS facility: $75 

Registration for local people (not staying in USPS facility): $150 

Registration is $75 for local students not staying in the USPS facility.  

Registration is $50 for out-of-town students staying at the Bolger
    center. 



(Students should provide proof of student status, such as a department letter.) 
 
(All these will include breakfast, lunch, dinner, banquet Gallup reception, and refreshments.) 

Please make your check payable to the Dept. of Math./Stat., UNL.   

A couple of exceptions are OK:  government purchase order and check request process.
We regret that we cannot accept payments by any other methods.




9. Please send the completed registration form (with the required
   registration fee)  no later than March 31, 2001.  Please send it
   to the following address:

    Department of Mathematics and Statistics 
    (ATTN: Ms. Barbara Rolfes)
    810 Oldfather Hall  
    University of Nebraska-Lincoln 
    Lincoln, NE 68588-0323, U.S.A.


    

    
Michael D. Larsen


Last modified: Wed Feb 21 11:04:36 CST 2001