Registration Form

Registration Form

Conference on Singular and Oscillatory Integrals

January 7 — 11, 1999, Madison Wisconsin

Name: ________________________________________

Address: ________________________________________

________________________________________

________________________________________

E-mail: ________________________________________

A $20 registration fee collected at the Conference will help defray the cost of refreshments.

If you wish to attend the Banquet on Saturday, January 9, 1999, please complete the following information:

Number of people in your party (the cost is $22/person):__________

Number of people in your party who want the following entrée--

Boneless breast of chicken stuffed with shallots & mushrooms:__________

Herbed barley casserole with portabella mushroom caps:__________

Graduate students: If you wish to be considered for possible partial support of local expenses, please provide the following information:

Name of your thesis advisor:__________________________________________________

Date (or expected date) of your Ph.D. degree:____________________________________

Title or subject of your thesis:_________________________________________________

Your Mailing Address:______________________________________________________

Please print this form, fill it out and mail the completed form to:

Conference on singular and oscillatory integrals
Department of Mathematics
University of Wisconsin
Madison, WI 53706-1388
USA The deadline for registration is December 11, 1998.

Name:	________________________________________
Address:	________________________________________
	________________________________________
	________________________________________
E-mail:	________________________________________