MWNTS Registration Form

Please complete the following form.
If you prefer, you may e-mail the information directly to Robert Pollack (rpollack at math.bu.edu)

First name
Last name
Institution
E-Mail
Position

If you are a student, will you need funding for housing on Saturday night?
If you answer "yes" we will make the reservation for you.

Will you be attending the dinner on Saturday night?
The cost will be approximately $20 and it will be held
at a Thai restaurant near the University of Chicago.