REAL ANALYSIS
EXCHANGE

The Forest Symposium - June 23 - 29, 2003
Registration Form

  1. Personal Information

    Name: *


    Mailing Address: *


    City: *


    State:


    Zipcode: *


    Country: *


    Telephone: *


    e-mail: *


    * required information.


  2. Conference Fee and on Site Registering

    The conference fee is $150 and includes the use of conference facilities, a refreshments, a tour/picnic, one ticket for the traditional banquet, a ticket for theatre, etc. The most economical way for participants to attend the conference will be for them to stay in Hotel Belaria or Sonata and take meals there. The charge for this will be an additional $30 per day in a double room ($60 for single room) with breakfast lunch and dinner, due at the time of on-site registration. More information on this, including charges for accompanying guests may be found in the LODGING section of this form.

    The deadline for receipt of regular registration is April 30. For payment, the prefered method is wire transfer according to the following data (but everybody can pay at the reception desk after arriving by cash, we cannot accept credit cards):
    Bank: CSOB Opava, Ostrozna 17, 746 01 Opava, Czech Republic
    Swift code: CEKOCZPP
    Account No.: 70883010/0300 variable symbol 272003
    Account name: Mathematical Institute, Silesian University in Opava, Na Rybnicku 1, Opava, Czech Republic
    Payment details: Conference Fee 27SSRA (your name)

    The participants from Czech Republic can pay Conference Fee in Czech Crowns. Please, click here for a details, because account number and variable symbol are different (in Czech only, PDF).

    Click here if you will pay by cash or by wire transfer .

    On-site registration will be held in the Hotel Belaria in Hradec nad Moravici (cca 7 km from Opava), beginning at noon on Sunday, June 22, and will continue on Monday morning, June 23.

    On Sunday there will be a reception (wine and cheese) in the Belaria beginning at 6:00pm.

  3. Arrival and Departure Information

    Information about historic surrounding area. Opava's and Silesian University home page contains a wealth of information about the city and university. If you will be flying, you should fly to Ruzyne Airport in Prague. We will be running a shuttle from the airport to hotel on June 22 (and probably June 29 back). Wait at the signs. The conference place is about 5 hours of travel from Prague.

    It is also possible to arrive at Mosnov Airport in Ostrava. If you will fly into Ostrava, contact Petra Sindelarova as soon as convenient to determine transportation possibilities to hotel.

    • Check here if you plan to drive to the conference.

      I will arrive at approximately (time) on (date) .

      I will depart at approximately (time) on (date) .

    • Check here if you plan to fly to the conference.

      ARRIVAL INFORMATION

             
             ARRIVAL DATE:    
             ARRIVAL TIME:    
             AIRLINE:         
             FLIGHT NUMBER:     
      

      DEPARTURE INFORMATION

             
             DEPARTURE DATE:    
             DEPARTURE TIME:    
             AIRLINE:           
             FLIGHT NUMBER:       
      

      If you need assistance at the airport, or you would like us to meet your flight at the gate, please explain below. We will make every attempt to accomodate you.


  4. Lodging Information (circle one)

    The most convenient and economical way for participants to attend the conference will be for them to stay and take meals in Hotel Belaria in Hradec nad Moravici. Belaria is a very pleasant facility. An exercise room, a swimming pool, sauna and massage, tennis court, volleyball court, fitness center, rent-a-bike, billiard and table tennis are available for your use. Please choose one of the two folloving items concerning lodging.

    • Click here if you wish to stay in a doble room with a private bath and eat in Hotel Belaria. The charge is $210 ($30/night).

      Check-in will take place in the Hotel Belaria.

    • Click here if you wish to stay in a single room with a private bath and eat in Hotel Belaria. The charge is $420 ($60/night).

    • If a husband/wife PAIR of PARTICIPANTS or a guest are attending the conference, and wish to share a room (two twin beds) with a private bath, and eat in Belaria, we can make that happen with the same price for $210 ($30/night) each (i.e. $60/night both). Price for children under 12 is $120. Simply,
      1. click here.
      2. Recall that your conference fee aready entitles you to partake in the tour/picnic on Thursday and the Friday evening banquet. If you wish to purchase a ticket for your accompanying guest to attend the tour/picnic and the banquet, the combined tickets are available for $100 per person. How many will you need?
      Please include your spouse's (roommate's) name:

    • If you would like to share the room with another participants, please list up to three persons here:
      .

    • Please click here if you will be making your own arrangements to stay and eat elsewhere and please list your local residence.


  5. Contributed Talks

    Would you like to give a talk? Yes No

    Title of your lecture:

    Abstract your lecture:


  6. Travel Support

    Some funds will be available to support both graduate students and recent degree recipients. If you would like to be considered for support, please provide the following information.

    • Graduate students
             Institution: 
             Estimated Year of Ph.D.  
      
    • Recent Ph.D.'s
             Year of Ph.D. 
             What is your current position?
      What level of support do you require?

    Some very limited funds may be available to support other participants. If you would like to be considered for such support, please the nature of your request below.


    I would like an "Official Invitation":


    Click to register for
    Summer Symposium XXVII.