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{\bf REGISTRATION FORM - ISUME2}
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{\bf REGISTRATION DETAILS:}\\

\noindent
{\bf Name and Title:}\\

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{\bf Institution:}\\

\noindent
{\bf Address for correspondence:}\\

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\noindent
{\bf Email Address:}\\

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{\bf Telephone Number:}\\

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{\bf DISCUSSION GROUP:}\\

\noindent
Please indicate which Discussion Group you would like to join:\\

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{\bf CONFERENCE DINNER:}\\

\noindent
The conference dinner, which will be in {\it Ouzo's} of Baggot Street on Friday, 10 December, will cost $\eu{35}.$\\

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I will be attending the conference dinner: YES \hspace{2cm} NO\\

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{\bf REGISTRATION FEE:}\\

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Registration fee: $\eu{25}$\\

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For students (undergraduate or postgraduate) who wish to attend, there is limited funding available to pay the $\eu{25}$ registration fee.\\
Are you eligible for this waiver? YES \hspace{2cm} NO\\

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Payment by cheque or bankdraft - to be made payable to {\it ISUME-UCD}\\

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Please send registration form and cheque for registration and/or conference dinner to:

\noindent
{\it Dr Maria Meehan,
Department of Mathematics,
Science Lecture Building,
University College Dublin,
Belfield,
Dublin 4,
Ireland}\\

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In order to assist with the organisation of ISUME2, please register {\bf before} Friday, 3 December, 2004.


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