online registration form

International Conference on Interactions between Wavelets and Splines

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

Registration Form

This form may be submitted electronically or 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 April 15, 2005. Title and abstract of your talk will be posted upon receipt. Sending them in before May 1, 2005 will be included in the conference brochure.

The conference will be held on Monday through Thursday, May 16--19, 2005.

1. Contact Information

Last Name:

First Name:

Email:

Telephone (if available):

Institution:

Mailing Address:

2. General Plans
The registration costs $180; see conference homepage for menu and payment instructions.
There are no other conference fees.

Do you wish to give a 20-minute talk ?

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

Do you wish to apply for support from the conference ? If yes, please fill in a support form.

3. Twenty-Minute Talk Details
This may be sent in separately to mjlai@math.uga.edu. Please use plain TeX format.

Title:

Abstract:

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

Last Name:
First Name:
Email:
Telephone (if available):
Institution:
Mailing Address:

Do you wish to give a 20-minute talk ?
Number of people (including yourself and guests not registering separately) you plan to bring to the banquet on Tuesday evening:
Do you wish to apply for support from the conference ? If yes, please fill in a support form.