Progress in Partial Differential Equations

Edinburgh, 9-13 July 2001

APPLICATION FORM

Section 1 - Personal Details

Last Name:

First Name

Title

Status (e.g grad student, postdoc, lecturer)

Institution:

Insitution's address:

Postcode:

Email:

Telephone:

Have you any special dietary (or other) requirements?

Section 2 - Accommodation

Please check appropriate option and complete the required dates.

( ) Please reserve me a single study-bedroom in Pollock Halls.
I intend to arrive on Sunday 8th July and leave on Saturday 14th July

( ) Please reserve me a single study-bedroom in Pollock Halls.
I intend to arrive on ______________ (Day)_____(Date)
and leave on ______________ (Day)_____(Date)

( ) I will arrange my own accommodation and evening meals

Section 3 - Financial position

Please check appropriate option

( ) I have sufficient funds to cover my Meeting Costs and Registration Fee, please invoice me

( ) I wish to apply for financial assistance and have completed a form for financial support

Section 4 - Contributed talk/Poster

Please check appropriate box (you may check both) and enter title and abstract below

( ) I wish to give a 20-minute talk

( ) I wish to present a poster

Title:

Abstract (max 200 words):

PLEASE RETURN THIS FORM BY 7 APRIL 2001 TO:
ICMS, 14 INDIA STREET, EDINBURGH EH3 6EZ
TEL: (0)131 220 1777; FAX: (0)131 220 1053; EMAIL: icms@maths.ed.ac.uk