Registration form

Mon, 05/14/2012 - 23:46 — anzamp_admin

Please fill in the details below.

Title

eg. Prof, Dr, Mr, Mrs, Ms, as you wish to appear on your nametag.

First name *

Last name *

Affiliation *

Please enter details of your department and/or institution.

Email address *

I wish to give a talk *

Please consider my talk for the A. J. Guttmann prize

If you are currently a student, or completed your PhD in 2012, your seminar is eligible for the A. J. Guttmann prize.

Seminar title

Please reserve single bedroom apartments on my behalf

Please reserve two bedroom apartments on my behalf

Please reserve seats on the return coach to Melbourne airport * seats

For more information on the return coach please visit the transport page.

Please reserve seats on the return coach to Spencer St station (subject to level of interest of participants) * seats

For more information on the return coach please visit the transport page.

Number of dinner reservations (at $65 pp) *

Please list any special dietary requirements

Any additional comments or questions?

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Given 3 coin tosses, how many sequences are possible? *

Fill in the blank.

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