Illinois Number Theory Celebration

March 25-26, 2009

Department of Mathematics
University of Illinois at Urbana-Champaign


REGISTRATION FORM

In keeping with the tradition of Illinois number theory conferences, there is no registration fee. However, in order to help us prepare for the meeting, we ask that those who plan to attend register via this online form in advance of the conference. If you wish to attend the banquet, please also mail a check for the appropriate amount to the address below.

Name:

Affiliation:

E-mail:

Number of banquet tickets ($25 each - see below):

Comments:


BANQUET RESERVATION

The conference banquet will be on the evening of Wednesday, March 25. It will be buffet-style with a variety of meat and vegetarian dishes. The cost is $25 per person, payable in advance. The deadline for banquet reservations is Friday, March 13, 2009.

If you wish to reserve banquet tickets, please mail a check for the appropriate amount, payable to "UIUC Dept. of Mathematics", to the following address:

Illinois Number Theory Celebration
c/o Sherri Kiska
Department of Mathematics
1409 West Green St
University of Illinois at Urbana-Champaign
Urbana, IL 61801
Please put "Illinois Number Theory Celebration" in the memo line of the check and include a printout of this registration form.

(If you do not require banquet tickets, online registration is sufficient; there is no need to mail in a paper copy of the form.)