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Mathematics of Quantum Computation and Quantum Technology

Texas A&M University

Nov. 13-16, 2005

Registration

All conference participants should register. This form should also be used to request support, accomodations (hotel room), and banquet preferences. Point and click to enter appropriate information, then click on "Submit" at the bottom of the page. You may elect to print a hardcopy version of the registration form, and complete and fax it to 979/845-6028. For administrative questions, please contact Cara Barton (cara@math.tamu.edu, 979/845-2915).

Important: After you click the submit button on the bottom of this page, you will reach a confirmation page. You must also click on "submit" on this page as well in order for your answers to be recorded. At the end there will be a "smiley face".

If you have registered and your name does not appear on the Participants page in two to three days, email Cara.

Personal Information

Name: Mr. Ms.

Position: (grad student, professor, etc.)

Postal Address:

     Line 1:

     Line 2:

     Line 3:

     Line 4:

Email:

Phone:

Fax:

Lodging Information

Please review the information about Accommodations. Supported graduated students are requested to share a double room with one other student. We can assist with these arrangements.

      Arrival Date: (mmddyyyy example "11132005" for Nov. 13, 2005)

     Arrival Time: (example 1223 pm)

 Arriving Airport Flight Number:

  Departure Date: (mmddyyyy example "11132005" for Nov. 13, 2005)

  Departure Time: (example 1223 pm)

Departing Airport Flight Number:

Smoking preference: Nonsmoking Smoking

Occupancy preference: Single Double

Occupancy is subject to availability. Please provide name of roommate (if known/applicable).

(Skip if you are a major speaker)

Please review the information on conference Support.

Do you wish to apply for support for the conference? Yes No

Do you have grant support? Yes No

Support will usually include lodging expenses for the nights of the conference. Please indicate other special requests (if any).

If you wish to contribute a talk, please send the title and abstract of your talk to Cara Barton (cara@math.tamu.edu)