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MaPhySto
The Danish National Research Foundation:
Network in Mathematical Physics and Stochastics



Funded by The Danish National Research Foundation

Registration form for Lévy Theory and Applications February 26 - 27, 2004

Fill in the registration form below, and submit it. Alternatively you can print the form and send it by post to MaPhySto:

MaPhySto
Department of Mathematical Sciences
Ny Munkegade Building 530
DK-8000 Aarhus C, Denmark.

General information

First name: Surname:
Affiliation:
Mailing address:
Postal code: City:
Country: E-mail:
Home page URL:
Phone: (+country code) Fax:

Registration Fee

The registration fee is 40 euros. You may pay it in one of the following ways; please indicate which method you will use. We kindly ask you to submit this form and pay the fee at about the same time. It is also possible to pay with cash when you arrive to the workshop.

Method of payment (remember to state your name somewhere on the payment):
check in EUROS drawn on Den Danske Bank made payable to: MaPhySto, Aarhus Universitet, DK-8000 Aarhus C, Denmark.
post-giro to number: 704 22 64 marked 95.5100.15252
bank transfer EUROS ONLY to Aarhus Universitet, Account No. 3627896506 at Den Danske Bank, Langelandsgade, DK-8200 Aarhus N (reg. number 3627), marked 95.5100.15252

Accommodation

Dietary Requirements:Please indicate your dietary requirements in the field "remarks" below.
Workshop dinner:
I wish to participate in the workshop dinner, price 40 euros (to be paid for at the University in cash, please).
I do not wish to participate in the workshop dinner.
Travel: We have a page with travelling information (how to get to Aarhus, maps etc.).


Please do not make any reservations for me.
Single room in the Radisson SAS Hotel, Category A
Single room at the CabInn Hotel, Category B
Single room at the GetInn Hotel, Category C
Single room with shared bath at Aarhus University Guesthouse

The arrival/departure dates are:
Date of arrival:
Date of departure:

If you arrive later or depart earlier, please change the dates accordingly.

Remarks

If you have any additional remarks, please give them here:
To submit your registration, press this button: .
You may also .

Receipt of your application will be acknowledged (in a couple of days) by email to the address you have given.