International conference on

The analytic theory of automorphic forms

at the 65th birthday of Roelof Bruggeman

 

15-19 June 2009

Woudschoten, The Netherlands

 

REGISTRATION

 

In order to register for this conference, please complete the form below.

Note: Unfortunately it is impossible to attend talks on an ad-hoc basis. You have to register as visitor before the closure of the registration and have paid your conference fee, even if you don't attend all talks or don't take lunch on that day. This applies in particular to Intercity Number Theory Seminar participants on Friday.

Your contact information

Last name
First name
Gender Male
Female
Name on badge
Organization / institution
Street + number (or P.O. box)
Zip code and City
Country
E-mail address
Phone number
Fax number


Your arrangement: check the appropriate option; Indicate dates (within the window 15-20 June)

 

Single Full Board (3 meals/day + hotel room; €145/day; extra hotel night with breakfast €70)

Arrival dateDeparture date
Sunday 14 June(€ 70) Monday 15 June
Monday 15 June(€ 145) Tuesday 16 June
Tuesday 16 June(€ 145) Wednesday 17 June
Wednesday 17 June(€ 145) Thursday 18 June
Thursday 18 June(€ 145) Friday 19 June
  Saturday 20 June


Shared Full Board (3 meals/day + shared hotel room; €110/day/person; extra hotel night with breakfast €35))

Arrival dateDeparture date
Sunday 14 June(€ 35) Monday 15 June
Monday 15 June(€ 110) Tuesday 16 June
Tuesday 16 June(€ 110) Wednesday 17 June
Wednesday 17 June(€ 110) Thursday 18 June
Thursday 18 June(€ 110) Friday 19 June
  Saturday 20 June

      • wants to share with (if known)  
            If you indicate a person you want to share with, then that person should also register separately and indicate your name under "wants to share with".


Visitor (includes lunch, €37.50/day)

Thursday 18 June
Check the dates on which
you will attend
I want dinner (€35/day)
Monday 15 June Dinner on Monday 15 June
Tuesday 16 June Dinner on Tuesday 16 June
Wednesday 17 June Dinner on Wednesday 17 June
Dinner on Thursday 18 June
Friday 19 June  


Dietary restrictions
(please describe as accurately as possible)


Further remarks      


   

Important: You can pay by bank transfer or credit card. The next screen will contain your invoice and the terms of payment.