Registration Form
PDE-03 Conference
June 12-15, 2003
Northwestern University

Please fill out the following form, by April 30, 2003, if you plan to attend the PDE-02 Conference. This form can be printed out and sent to us by snail mail, or you can send it to us by email; the addresses appear at the end of the form.


Name: ____________________________________________________________

Institution: ________________________________________________________

Mailing Address: __________________________________________________

___________________________________________________________________

Telephone: ________________________________________________________

Fax: _____________________________________________________________

Email: ____________________________________________________________


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Dinner.

A dinner with reduced price for conference participants will be held on June 14 (Saturday) ($25 for associate professors and beyond, $20 for junior faculty, and $15 for graduate students, including tax and tip; an accompanying guest of a participant pays the same as the participant), at the Omni Orrington Hotel (downtown Evanston). Reservations for the conference dinner should be made in advance, but no later than Tuesday, May 20. The payment for the dinner can be made in cash during the first day of the conference before 4:00pm, June 12, or may be made by check payable to CASH by mailing to Melanie Rubin before May 30. Please indicate below if you will attend.

Attending the dinner? Yes ____ No ____ Number of Guests ____

Please return this form as soon as possible (but no later than May 20, 2003) to us by regular mail or fax to

 Ms. Melanie Rubin, PDE-03 Conference, Department of Mathematics
      Lunt Hall, 2033 Sheridan Road, Northwestern University
      Evanston, IL 60208-2730, FAX: 847-491-8906
or by email at melanie@math.northwestern.edu.