FFT 2012: Registration Form

Please complete this form to register for the 2012 February Fourier Talks at the Norbert Wiener Center in the Department of Mathematics at the University of Maryland, College Park. Make sure to complete the required fields marked with a “*”.

Registration fee schedule:

		On or before January 31, 2012		After January 31, 2012
Students and government employees		Free		Free
All other non-students		$50		$75

After you complete this page, you will be taken to an online payment site.

 

First name*
Last name*
Email address*
Affiliation (Company or Institution)*
Registration Status*		Student (free) Government Employee (free) Other non-student ($50 fee)
Attending*		Thursday talks Thursday dinner Friday talks
Address*
Phone*

* = Required field!