Spectral Theory of Differential Operators

Weizmann Institute of Science, Rehovot, Israel
May 29-June 1, 2006

REGISTRATION FORM

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To fill in the registration form please copy it by

· selecting the text,

· pushing the copy button and

· pasting it into the body of your E-mail message.

Return the filled in form by e-mail to terry.debesh@weizmann.ac.il

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· Name, Middle name initial, Family name:

· Affiliation:

Institute, COUNTRY

· Current position:

· Post address:

Department, Institute, Street Address, Postcode, City, COUNTRY

· E-mail:

· FAX and phone numbers:

· Arrival Date:

· Departure Date:

· Number of accompanying  persons:

· Hotel Accommodation
Single room
Room for two      Shared with
From:           To:               Number of nights:

· Banquet: I am interested in participating in the workshop banquet (to be held on )    yes/no

Number of persons:

· Excursion: I am interested in participating in the workshop excursion (to be held on ) yes/no
Number of persons:

· Are you proposing to present a talk? 

yes/no (There will be only a limited number of invited talks).

· Tentative title of the proposed talk:

· Abstract

Please send a short abstract to kannai@wisdom.weizmann.ac.il before April 1, 2006.

· Do you need a formal invitation letter to visit Isael?

yes/no.

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Please copy the form, fill it in and return by e-mail to terry.debesh@weizmann.ac.il

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