REGISTRATION FORM
FLOER HOMOLOGY, GAUGE THEORY, AND LOW DIMENSIONAL TOPOLOGY



You may register here or by returning the form below by e-mail to lowdim@renyi.hu (Subject: registration)

or by fax to

András Stipsicz, Alfréd Rényi Institute of Mathematics, PO Box 127, H-1364 Budapest, Hungary

Fax: (36 1) 4838333

as soon as possible, but before May 1, 2004.


Family name: 

First name: 

Affiliation: 

Mailing address: 

Fax: 

E-mail address: 

Nationality: 

Sex: MF

Date of Arrival:    June 2004

Date of Departure:     June 2004

NOTE:  no hotel rooms have been reserved in advance for dates before June 6 or after June 26.

Do you observe a special food regime (eg. vegetarian)? 


 

REGISTRATION FORM
FLOER HOMOLOGY, GAUGE THEORY AND LOW DIMENSIONAL TOPOLOGY





You may register by returning the form below by e-mail to lowdim@renyi.hu (Subject: registration)

or by fax to

András Stipsicz, Alfréd Rényi Institute of Mathematics, PO Box 127, H-1364 Budapest, Hungary

Fax: (36 1) 4838333

as soon as possible, but before May 1, 2004.
 

Family name (please print):

First name:

Affiliation:

Mailing address:

Fax:

E-mail address:

Nationality:

Sex: M/F

Date of arrival:

Date of departure:

Special food regime?