3^rd Bluegrass Algebra Conference

Department of Mathematics
University of Kentucky
Lexington
June 14-16, 2012



Online Registration
Please, take a few moments to register.
It will help us in our organizing efforts.

You should receive from us a confirmation that your registration was submitted via email.

Inquiries regarding registrations should be addressed to: alberto.corso@uky.edu

ASCII TEXT ONLY PLEASE (No HTML).

1. Full name:
   
   
   
2. Current faculty position:
   
   
   
3. Present level of study (for mathematicians at the peridoctoral level):
   If you are a graduate student or a post-doctoral scholar, please list advisor(s)
   and expected degree or degree date.
   
   
   
4. Address (do not use abbreviations):
   University:
   Email:
   Phone number:
   Address line 1:
   Address line 2:
   Address line 3:
   City:
   State:
   Country:
   Postal/zip code:
   
   
5. Do you need financial support?:
   Yes     No
   
   
6. Support level:
   Please indicate the level of support that you are seeking.
   
   
   
7. Banquet:
   Are you planning to attend the banquet on Friday evening (June 15)?
   Yes     No
   
   
8. Please describe any special conditions or concerns: