Registration form: HMS Workshop, University of Miami, January 2017

Please fill and submit the form below if you are interested in attending the Workshop on Homological Mirror Symmetry at University of Miami, January 26-29, 2017.

Please remember that capacity is limited.

Registration deadline: December 14.

    Your Name (required)

    Your Email (required)

    Your Affiliation (required)

    Situation: Speaker/OrganizerFacultyPostdocGraduate studentOther

    Dates of attendance:   Arrival: Departure:

    Please reserve a hotel room for me: YesNo

    The organizers will arrange accommodation for participants who request it. Please be sure to indicate your arrival/departure dates here, and note any specific accommodation-related requests below. Important: make sure to notify us of any changes, before the hotel deadline.

    Graduate students will likely be asked to share hotel rooms, due to space and budget constraints. Please indicate your gender; if you have a preferred roommate, please indicate so in the box below.
    Gender: MaleFemaleDecline to state

    Message to the organizers

    Non-invited participants: indicate if you have funding or are applying for funding. Students: indicate the name of your thesis advisor.
    Speakers: indicate any scheduling constraints.