Texas Geometry and Topology Conference
Spring 1999, 26-28 February 1999
Texas Tech University

"TGTC in Flatland"

On-Line Registration

To apply for the Texas Geometry and Topology Conference hosted by the Department of Mathematics Texas Tech University, please complete and submit this form:

Last Name:First Name:
Work Ph.:Home Ph.:
E-mail Address:Fax:

Please check the appropriate boxes below:

Senior Faculty Member
Junior Faculty Member
Graduate Student
Do you wish to apply for support? Yes No
Number attending banquet (estimate)
Number vegetarian meals at banquet (estimate)
Do you want us to try to find you a roommate? Yes No
Gender Female Male

I require the following special accomodations

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