############################################################ A COURSE IN TAME CONGRUENCE THEORY Budapest, July 2--13, 2001 REGISTRATION FORM ================= Deadline for registration: April 15, 2001. Please, send the form even if you arrange your own accommodation. Address: workshop@server.math.u-szeged.hu ************************************************************ 1. Name: Affiliation: Email: ************************************************************ 2. I want to attend the workshop. Planned day of arrival: July ..., 2001 Planned day of departure: July ..., 2001. ************************************************************ 3. ACCOMMODATION: [Please choose one of the three options below by underlining your choice, and then proceed to the corresponding more detailed questionnaire.] I choose the following option: (0) I arrange my own accommodation (1) Moderately priced guest rooms, rooms in dormitories (2) House of Professors (of the Technical Univ. of Budapest) ========================================================== ----------------------------------------------------------- | (1) Moderately priced guest rooms, rooms in dormitories | ----------------------------------------------------------- [Please underline your choice and fill in the dotted lines.] I would like to have a single room double room I would like to share a room with ........................... I don't want to share a room with anybody. If I have to pay for my accommodation, my preferences within the price range of option (1) are as follows: ......................................................... ......................................................... Application for support for the costs of accommodation: [Please indicate here if you need financial support for paying for your accommodation during the workshop.] .......................................................... .......................................................... ========================================================== ---------------------------------------------------------------- | (2) House of Professors (of the Technical Univ. of Budapest) | ---------------------------------------------------------------- [Please underline your choice and fill in the dotted lines.] I would like to have a single room double room I would like to share a room with ........................... I don't want to share a room with anybody. ##############################################################