APPLICATION: NWMI Summer Geometry Institute, August 13-18, 2000
Print out this application, fill it in, 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.
Mail to:
NMWI
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