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DEPARTMENT
of MATHEMATICS
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Saturday January 10 - Sunday January 11, 2004
Chancellors Hotel and Conference Centre, University of Manchester
APPLICATION FORM
| First Name: | |
| Last Name: | |
| Address: | |
| Country: | |
| Email: | |
| Home page: | |
| Tel: | Fax: |
| University: | |
If you are a student,
please provide your supervisor's name:
My presentation will be in the following area
The title of my presentation is .
An abstract can be given here, but is not necessary.
All participants are provided with lunch and refreshments on both days. Accommodation is available in single en-suite rooms.
Choose one of the following three options:
If required choose the following option:
B & B Sunday night. You will be charged 45 pounds +VAT.State any additional requirements