APPLICATION FORM FOR NSF-CBMS CONFERENCE
JUNE 22-28, 2008
EASTERN ILLINOIS UNIVERSITY
ERGODIC RAMSEY THEORY: A DYNAMICAL APPROACH TO STATIC PROBLEMS
SPEAKER: VITALY BERGELSON, OHIO STATE UNIVERSITY
DEADLINE: APRIL 1 
LATE APPLICATION WILL BE ACCEPTED UNTIL FUNDING RUNS OUT


NAME ...

DEPARTMENT ....

UNIVERSITY AFFILIATION ...

ADDRESS ...
            STREET                 CITY           STATE-ZIP

PHONE ...(           )
           AREA-CODE    NUMBER

PLEASE SEND BY MAIL OR ATTACH TO EMAIL A SHORT RESUME

INDICATE THE APPROPRIATE ITEMS


PLEASE SEND ME MORE INFORMATION ABOUT THE CONFERENCE ...
                                                         Y/N

I WISH TO ATTEND THE CONFERENCE (JUNE 22-28, 2008) ...
                                                        Y/N

I WISH TO BE CONSIDERED FOR ON CAMPUS RESIDENT FUNDING...
                                                         Y/N

I WISH TO BE CONSIDERED FOR TRAVEL FUNDING...
                                              Y/N

DRIVING MILEAGE...
                   AT 30 CENTS/MILE

DRIVING ESTIMATE...
                    AMOUNT

AIRPLANE FARE...
                 AMOUNT

MAIL TO: PATRICK COULTON/CBMS CONFERENCE
         DEPARTMENT OF MATHEMATICS AND C.S.
         EASTERN ILLINOIS UNIVERSITY
         600 LINCOLN AVE.
         CHARLESTON, IL 61920-3099

OR EMAIL TO: prcoulton@eiu.edu

Conference organizers: Patrick Coulton, David Boyd, Evgeny Gordon, Gregory Galperin.

(AS ATTACHMENT OR IN BODY OF LETTER IF YOU PREFER)
include as attachment or in body a short resume