APPLICATION: NWMI Summer Geometry Institute, August 12-17, 2001
Print out this application, fill in all items, and send it with your payment
to the address below.
Name _________________________________________
Home Address _________________________________
______________________________________________
Housing on campus? (Sunday night through Thursday night for no
additional charge.)
Yes _______ No ________
.
School _____________________________________________
School Address _____________________________________
___________________________________________________
Phones
Home (____) ______________ Work (____) ______________ Fax (____) ______________
Email ________________________________________
Signature ____________________________________
Please include a check or PO for $150 payable to Dept. of Math, University of
Washington. (Sorry, no credit cards.)
Mail to:
NWMI
University of Washington
Department of Math, Box 354350
Seattle, WA 98195-4350
Phone: (206) 543-1915 Fax: (206) 543-0397
Email: nwmi@math.washington.edu
Web page: http://www.math.washington.edu/~nwmi