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Geometry and Representation Theory:
A Conference in honor of George Lusztig

Registration Form


Click here to view list of registered guests

Please fill in all the blanks below

Name:       

How would you like your name to appear on your badge:

Affiliation: 

Address:
                    

Citizenship:

Telephone:

Email:        

Where are you staying?

Are you requesting Travel Reimbursement? Yes No
Please note: Partial reimbursements for travel and accomodation will be available to graduate students, young researchers, women and minority participants. In order to receive travel reimbursement, you must submit original receipts. If you are requesting a reimbursement for airfare, please be aware that we have applied for partial NSF funding, and our application is being recommended to an award. So please use an American carrier. NSF money cannot be used to reimburse airline tickets issued by non-American carriers. Foreign visitors should also be aware that reimbursement requires a special type of visa.

How much do you expect to request for travel (airfare, train, etc., not including hotel and other expenses once in Cambridge)?  

Are you planning to attend the banquet? Yes No
If yes, are you bringing a guest? Yes No
Please note: there will be alcohol at the banquet. Please bring an ID.

If you are speaking at conference, do you need audio visual equipment? Yes No

If yes, what type of equipment?

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