Registration form for the

Concentrated Advanced Course

LONG RANGE DEPENDENCE

Monday, October 20 - Thursday, October 23, 2008

Please fill in the registration form below, and submit it. Alternatively you can print the form and send it by mail or e-mail to:


Department of Mathematics
Universitetsparken 5
DK-2100 Copenhagen Ø Denmark.
mikosch@math.ku.dk

General information

First name: Surname:
Affiliation:
Mailing address:
Postal code: City:
Country: E-mail:
Home page URL:
Phone: (+country code) Fax:
Date of arrival:
Date of departure:

Participation

  I would like to participate in the course.
  I am a PhD student at the Institute of Mathematics in Copenhagen and apply for financial support.
  I am a PhD student at the Institute of Mathematics in Aarhus and apply for financial support.

Lunches

We would like to know how many lunches you will need:
  I will not need any lunch

  I will eat lunch on Monday
  I will eat lunch on Tuesday
  I will eat lunch on Wednesday
  I will eat lunch on Thursday

  I will eat lunch every day

  I am a vegetarian

Registration Fee

The registration fee for the Course is 500 kr. for Danes and 70 Euros for non-Danes. It covers lunch, coffee during breaks and hand-outs during the whole week.

You must pay by interbank transfer in Danish Kroners or Euros to the account given below. Bank fees must be paid by the participants.

Bank information

Danske Bank A/S
Holmens Kanal 2
DK-1090 København K
For payment inside of Denmark: Konto 3001-4115212125
For payment from other countries: SWIFT-code: DABADKKK and IBAN-code: DK41 3000 4115 2121 25
You must also indicate the following reference number for identification of the Course: 501000

Remarks

If you have any additional remarks, please give them here:
To submit your registration, press this button: .
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