online registration form

Georgia Scientific Computing Symposium

c/o Department of Mathematics
University of Georgia
Athens, Georgia 30602-7403

Registration Form

This form may be submitted electronically or have it printed and mailed to the above address. Please fill out the first two parts of the form (contact information and general plans) as soon as possible, but no later than Saturday 18, 2012. Title and abstract of your poster can be submitted later and will be posted upon receipt. Sending them in before Feb. 18, 2012 will be included in the conference brochure.

The conference will be held on Saturday Feb. 25, 2012. * below indicates the necessary for this registration.

1. Contact Information

* Last Name:

* First Name:

* Email:

Cell phone (in case):

Institution:

Mailing Address:

2. General Plan
(1) There is no registration fee.
(2) An informal dinner will be organized at a local restaurant.

Do you wish to give a poster presentation? If yes, please fill part 3.

Number of people (including yourself and guests not registering separately) you plan to bring to the dinner on Saturday evening:

3. Your Plenary Talk/Poster Details
This may be sent in separately to mjlai@math.uga.edu. Please use plain TeX format (no \magnification nor \bye are needed)

Title:

Abstract:

http://www.math.uga.edu/~was/

* Last Name:
* First Name:
* Email:
Cell phone (in case):
Institution:
Mailing Address:

Do you wish to give a poster presentation? If yes, please fill part 3.
Number of people (including yourself and guests not registering separately) you plan to bring to the dinner on Saturday evening: