9th
New Mexico Analysis Seminar
April 6-8, 2006
Registration Form |
| Please
fill in all relevant information. |
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First Name: |
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| Last
Name: |
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| Social
Security #: |
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| Affiliation: |
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| Status: |
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| Year
Ph.D. was obtained: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Phone
: |
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| Email
Address : |
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| I
would like to give a short talk:
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| Tentative
Title:
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| I
will be traveling by car:
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| I
will be flying into Albuquerque:
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| Book me a single room at the Hiway House:
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| Which
nights :
Wednesday
Thursday
Friday
Saturday
Sunday |
| I
will share a double room at the Hiway House:
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smoking
non-smoking |
| Preferred
roommate:
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| Do
you need travel support:
yes
no |
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