Registration

JAMI 2005 Home Travel

Japan-U.S. Mathematics Institute (JAMI) and Johns Hopkins University, Department of Mathematics

Conference on

Hodge Theory and Log Geometry

March 14-20, 2005

Organizers:

Kazuya Kato, Kyoto University

Shuji Saito, Nagoya University

Sampei Usui, Osaka University

Steven Zucker, Johns Hopkins University

Please enter your name and affiliation as it should appear on your badge. YOU MUST USE YOUR CREDIT CARD AND GET YOUR OWN HOTEL. SEE HOTEL LIST.

Name:
Affiliation:
Address:

	City State Zip
	Country
E-mail address:			Phone or Fax if e-mail is not used:
U.S. Citizenship or Permanent Resident: yes no If no, Country of Citizenship:
Current Status: Faculty Post-doc Graduate Student Other
Planned Dates of Visit: Arrival Departure:
Support: There is some funding available for graduate students and post-docs to help defray the cost of travel and local expenses. If you would like to be considered for funding, *your advisor or other senior mathematician must submit a supporting letter to jami@math.jhu.edu. Please complete the following:
Thesis Advisor or Senior Mathematician*:		I am not receiving support from any other source.
Hotel Accommodations: If you are a Conference Speaker, check here ; reservations will be made for you. Please fill in your Planned Dates of Visit and any Special Requests. Confirmation will be sent by e-mail. All other participants, please make your own reservations at one of the following hotels by the indicated cutoff date using your credit card. JAMI will gladly help arrange accommodations if you are interested in sharing room expenses with another participant, as well as for international participants if needed. Please fill in your Planned Dates of Visit, any Special Requests, and e-mail address.
The Broadview Hopkins Inn Quality Inn & Suites at the Carlyle
I will make my own reservations at (please click on name of hotel)
I would like JAMI to arrange a shared room Jami will need credit card information to hold your reservation. I am an international participant and would like JAMI to arrange a room Jami will need credit card information to hold your reservation.
Special Requests/Questions:
Support for this conference is provided in part by the National Science Foundation, the Japan Society for the Promotion of Science and the Johns Hopkins University.