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Conference on Stark's Conjecture and Related Topics

Johns Hopkins University, Department of Mathematics

August 5-9, 2002

Registration Form

Please enter your name and affiliation as it should appear on your badge.
Name:
Affiliation:
Address:
City    State    Zip
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E-mail address:   Phone or Fax if e-mail is not used:
U.S. Citizenship or Permanent Resident:  yes  no
If no, Country of Citizenship:   
Current Status:  Faculty    Post-doc     Graduate Student     Other
Planned Dates of Visit:   Arrival    Departure:
Invited Speakers. If you are an invited speaker, check here ; reservations will be made for you.  Confirmation will be sent by e-mail.
All other participants. 

Hotel Accommodations. Please make your own reservations at one of the following hotels by the indicated cutoff date.  The organizers will gladly help arrange accommodations if you are interested in sharing room expenses with another participant, as well as for international participants if needed.  Please fill in your Planned Dates of Visit, any Special Requests, and e-mail address.   

The Broadview
Doubletree Inn at the Colonnade
Hopkins Inn
Quality Inn & Suites at the Carlyle
I will make my own reservations at
I would like the organizers to arrange a shared room .
I am an international participant and would like the organizers to arrange a room .
Special Requests/Questions:
Financial Support. There is funding available for graduate students, post-docs, and contributing speakers to help defray the cost of travel and local expenses. 

 Please complete the following if you are requesting financial support:

 Do you have a grant ?   Yes.  No.  

If you received your PhD degree less than five years ago, check here.

If you are a graduate student, please give your Thesis Advisor's name and e-mail address.   

Support for this conference is provided in part by the
National Science Foundation, the
Number Theory Foundation and the Johns Hopkins University.