Registration Form


 

PERSONAL INFORMATION
Title:  
First name:  
Last name:  
Affiliation:  
City:  
Country:  
e-mail:  

 




 

PARTICIPATION IN THE MEETING
I would like to participate in section(s):
(choose between 1 and 5)          
    Algebraic Differential Equations and Foliations
    Approximation and Complexity
    Arithmetic Algebraic Geometry
    Combinatorics
    Common Trends in Mathematics Education Research in Poland and Israel
    Complex Analysis and PDEs
    CAST workshop Contact and Symplectic Topology
    Contemporary Geometry
    Ergodic Theory and Dynamical Systems
    Functional Differential Equations
    Games and Financial Mathematics
    Geometric Function Theory
    Geometric Topology
    Geometry of Plane Curves
    Homotopy Theory
    Nilpotent Approximations in the Goursat Monster Tower
    Nonlinear Analysis
    Banach Center section Operator Algebras
    Real Analysis
I wish contribute in the section:  
Contribution title:  
Abstract:   The participants are requested to send an extended abstract of the talk
  electronically on the address imuptm@math.uni.lodz.pl as an attached file(s).
  The deadline is April 30, 2011.

 




 

ACCOMMODATIONS
Deadline May 30, 2011               

Date of arrival:

      September 2011

Date of departure:

      September 2011

I wish to book a hotel room:

    No           Yes  

Hotel reservation:

  Hotel Ambasador                    (deadline expired, try to book by yourself)
  Hotel Grand                            (deadline expired, try to book by yourself)
  Hotel Ibis                                (deadline expired, try to book by yourself)
  Hotel Boss                              (deadline expired, try to book by yourself)
  Student Dormitory
  Jewish Community Guest House      (deadline expired)

Room:

    Single  
    Twin               Shared with:  

Accompanying person(s):

    number of accompanying persons: 

 




 

PAYMENT INFORMATION
  
The institution paying for the participant:  
Street address:  
City:  
State/Province:  
Zip/Postal Code:  
Country:  
NIP (VATIN):  
Method of payment:  
Invoice language:  

 




 

I need an invitation letter     Yes           No