Registration Form

If you are interested in attending the conference and/or mini-workshop, please fill out the form below, then click the submit button at the bottom of the page. Thank you!

Your Name:
Email Address:
Affiliation:
Mailing Address:


The conference and the workshop are sponsored by the James H. Simons Math-Physics Endowment and a grant from the National Science Foundation. In particular we will have funds to support a number of participants, particularly graduate students and recent Ph.Ds.

Do you wish to apply for financial assistance? Yes No

Do you you wish support for Travel? Lodging?

If you are requesting financial support, please send us your curriculum vitae at the following email address: dusafest@math.sunysb.edu

Graduate students requesting support should also obtain a letter of recommendation.


Travel Information (optional):

The conference will begin on the afternoon of October 12th, and will end at noon of October 15th. We expect many of the participants to begin arriving on October 12th, when we will have one talk, followed by a wine & cheese welcoming party.

DateTimeAirline & Flight/TrainAirport/Station
Arrival:
Departure:


Accomodations::

We have reserved blocks of rooms at reduced rates for the conference at the following hotels. Special rate cut-off date is 9/11/06.

Another nearby choice for a hotel is the Danford's Inn (631-928-5200), $149 per night, mention "Dept. Mathematics Stony Brook" to get this special rate.

When making reservations, please make sure you mention the Stony Brook Mathematics Department Conference.

Please make your own hotel reservations.

If you have decided already, please let us know the hotel where you will be staying:


Registration fees for participants

The registration and banquet (evening of 10/13/06) fees are as follows:

With Banquet Without Banquet
Faculty Members $85 $40
Graduate Students $60 $15

Registrations received by 09/09/06 will get a $10 discount.

Do you wish to attend the banquet? Yes No

Please feel free to bring guests to the banquet or any other social event. If you plan to do so, however, we request that you add a banquet fee of $50 per guest to your registration fee.

How many guests would you like to bring to the banquet?

Please write a check for your registration and banquet guest fees, payable in US dollars to Chairman's Fund, and mail it to

DusaFest
Department of Mathematics
SUNY at Stony Brook
Stony Brook, NY 11794-3651, USA

We regret that we are unable to accept credit card payments.

We hope that many of the graduate students and recent Ph.Ds applying for support will eventually be reimbursed for these fees.

Special needs, or other comments::