Combinatorial Aspects of Mathematical Analysis Application Form

Instructional Conference on
Combinatorial Aspects of Mathematical Analysis

	Application Form All applicants must complete sections 1-4
Section 1	Personal Details
Last Name
First Name
Title
Status	(e.g. grad sutudent, postdoc, lecturer)
Email
Institution
Institution's Address
Telephone
Nationality
Special requirements	Please specify any special dietary or other requirements
Section 2	Accommodation Please select one of the following options.
	Please reserve me a single study-bedroom and evening meals at Pollock Halls. I intend to arrive on Monday 25 March and depart on Friday 5 April. I will arrange my own accommodation
Section 3	Conference Dinner The Conference Dinner will be held on Friday 29 March. The cost is £20 (or £10 for those who are successful in their application for EC funding)
	I wish to attend the dinner. I do not wish to attend the dinner.
Section 4	Financial Position Choose one option.
	I have sufficient funds to cover my costs: please invoice me. I wish to apply for financial assistance and have completed an Application for Financial Support.

APPLICATIONS MUST BE RECEIVED BY 16 DECEMBER 2001

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