Registration Form

1999 Spring Topology Conference

 University of Utah

To register, print this form, fill it out, and send it to the address below.  

Name __________________________________________      Title _________________

University or other organization ___________________________________________

Address ____________________________________________________________________

City/State/Zip _____________________________________________________________

Phone number _________________________

E-mail address _________________________________

Registration Fee: The registration fee is $75 if paid on or before January 31, 1999 and $100 if paid afterwards. Graduate students and recent Ph.D.'s (97-98) may deduct $40 from the fee. The registration fees partially cover the cost of running the conference.

_____ Check here if you are a graduate student or a recent (97-98) Ph.D.

_____ If the above applies to you, check here if you are applying for financial assistance to attend the conference (please include a letter from your Ph.D. advisor requesting funding.)

_____ Check here if you would like to register your non-topologist companion for a $40 fee (conference dinner & T-shirt included !)

Companions name ________________________________________

$_____ Amount of check enclosed (payable to: University of Utah Mathematics Department).

Mail this registraton form along with a check to:

Spring Topology Conference

Mathematics Department

University of Utah

Salt Lake City, UT 84112

For additional information, please call (801) 581-6851.