SCGAS Registration Form

Registration for the 20th Southern California Geometric Analysis Seminar, February 23-24, 2013.

Please submit before Feb 15th, 2013. Priority will be given to those requesting support before January 11th, 2013.

All fields are required.

First Name:
Last Name:
 
Email:
Phone:
 
Affiliation and address (at least two lines):

 
Requesting Support?

Status?

Graduate Student Recent Ph.D.without support Neither

If you are a graduate student requesting support please tell us:
(1) Your year of study (e.g. 3rd year):

(2) Name of PhD advisor or field of study:

Notes:

There will be a nominal registration fee of $15, payable in cash at the conference.

(Problems using this registration form? Please email scgas@math.ucsd.edu.)