Picture of the title of the Institute: analysis & Probabillity in Quantum Physics

Invited Workshop Participant Registration Form

The PASI 2006: Analysis and Probability in Quantum Physics Workshop will run from Sunday, 23 July 2006, through Friday, 4 August 2006. If you have questions, please contact the organizers.

You should receive a confirmation that your application was submitted via email. If you do not receive a confirmation, please resubmit your registration.

Inquiries regarding registration should be addressed to pasi06@ms.uky.edu.

ASCII text only, please (no HTML).


Invited Researcher's Name
Given (First) Name:
Family Name:
University:
Email:
Phone number:
Address: (Do not use abbreviations)
Line 1:
Line 2:
Line 3:
City:
State/Province:
Postal/Zip code:
Country:
Preferred Airport and Travel Dates:
Departure Airport
Departure Date to Santiago:
Departure Date from Santiago:
Title of Talk and Abstract:
If you wish to give a talk, please send us a title and an abstract.
Please briefly describe your research activities (optional):
Please list a few recent published papers (optional):
Funding Needs and Local Funding Available:
If you have any local funding, please list amount and estimate your funding needs.
Other:
Please describe any special conditions or concerns: