Online Conference Registration Form

for SEAM 21 at Washington & Lee University

If you plan to attend SEAM 21, please provide us with your contact information and your general plans as soon as possible, but no later than March 5, 2005. Also, please complete the travel-plans section when you have that information.

Names of participants who have registered will be posted on the conference website shortly after they are received.

There will be four invited lectures during the meeting.
20-minute contributed talks are encouraged.
Titles and abstracts due by March 21, 2005.

	Have you registered Previously? (Yes,No)
If so, you only need to fill in your name and e-mail address and any new information.
Contact Info:
Name:
e-mail address:
Telephone:
Institution:
Mailing Address:
General Plans:
Do you plan to give a 20 minute talk? (Yes, No)
Do you plan to apply for support from SEAM? (Yes, No)
If you are applying to SEAM for support and you are not a US citizen or a permanent resident, what type of visa do you have?
Are you going to attend the complimentary banquet Friday night? (Yes, No)
Are you going to bring a guest to the banquet ($25/guest)? (Yes, No) If yes, how many?
Travel Plans:
Date & Time of Arrival:
Where will you stay?
Mode of Travel?
Date & Time of Departure?
Special Requests? Would you like to share a motel room?
Contributed Talk:
If you plan to give a contributed talk, please fill out the following items. Your title and abstract may be submitted separately from the above information. Please use TeX notation when typing mathematics into the forms.
For all the talks we anticipate having a blackboard, two document projectors (which project images from books, papers, transparencies, etc), and a PC computer if you want to bring your talk on a disk or CD and project it; we will also have a connection for your laptop if you wish to use it to project images for your talk. Which of the following would you like to use for your talk? (check all that apply)
Blackboard	W&L's Computer
Document Projectors	I'll bring my own Laptop
Title:
Abstract:

You will receive an automatic e-mail confirmation once you submit your registration,
if you do not, please contact one of the organizers.

Back to SEAM 21 web page