International Centre for Mathematical Sciences

PROBABILISTIC METHODS IN POLYMER PHYSICS

EDINBURGH 16-27 SEPTEMBER 1996

REGISTRATION FORM

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(*) I wish to attend the workshop.

(*) I wish to attend the workshop and present a paper. Please give title and send abstract in standard LaTeX form by E-mail to: terence@ma.hw.ac.uk

(* - Delete as applicable)

Last Name :

First Name:

Title:

Position:

University / Company:

Address

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Post Code:

Country:

Tel:

Fax:

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ACCOMMODATION

A variety of accommodation is available. The price of accommodation starts at 20 pounds per night for bed and breakfast in a guesthouse. University accommodation will also be available for between 20-35 pounds per night depending on the type of room.

An accommodation request form will be sent to you when your application has been accepted.

REGISTRATION FEES

The registration fee for each workshop includes morning coffee, afternoon tea and one evening reception.

(*) I enclose a registration fee

80 Pounds for academic participants
160 Pounds for other participants

(*) I am a member of staff at an ICMS member University
(Edinburgh / Heriot-Watt / Stirling) and am not required to
pay a registration fee.

(* - Delete as applicable)

Signature:

Date:

PLEASE MAKE CHEQUES PAYABLE TO "HERIOT-WATT UNIVERSITY (ICMS)"

Payment should be made in pounds Sterling by cheque, eurocheque or bank draft (credit card is not accepted).