REGISTRATION  FORM  FOR  THE  CONFERENCE

FRACTAL GEOMETRY AND APPLICATIONS

(Satellite Conference of ICM 2002)
 Nanjing,  August 29- September 2, 2002
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Name:

Email Address:

Mailing Address:

University affiliation:

Position (grad student, post-doc, faculty, etc) :

Do you wish to present a paper? (If yes, indicate possible title):

Do you wish to apply for financial support?
(Note: we hope to notify applicants of financial support by April 30, 2002)

Explain briefly how your previous work relates to the topics of this conference:

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If you want accommodations, indicate your first (1), second (2) or third (3) choice.
 ___  Single room ($120 for one day)
 in the Central Hotel in Nanjing.
 ___  Double room ($80 each person for one day) in the Central Hotel in Nanjing.
 ___  Double room ($40 each person for one day)
in the Nanyuan Hotel in Nanjing University.

Please give us the name, if there is another participant you wish to share a townhouse with:


We are not asking for deposits now, but later we may request advance payment to reserve a room.

Check here if you would like an official invitation letter:
(Non Chinese citizens coming from abroad should bring such a letter to ease entry formalities.)

Please return this form by fax: +86-25-6632014