Please, fill in and return by e-mail (tmsf@math.bas.bg , virginia@diogenes.bg )             this form by 15 April 2010, together with the abstract (1/2 – 1 page) of your talk

We expect, from each possible participant, 2 files (1. Reg. Form; 2. Abstract)               sent by e-mail together. These files names should include your name:                   1. Reg_Person_Name.doc; 2. Abs_Person_name.doc

FIRST REGISTRATION FORM – GFTA’10

International Symposium “Geometric Function Theory and Applications’2010” Sofia, 27 – 31 August 2010,
Host: Institute of Mathematics and Informatics – Bulg. Academy of Sciences

Please, tick where appropriate!

Yes, □ I will participate in the meeting; or: □ I am interested to attend the meeting, although not sure yet if will be able; please send me any updated info.

1.	First Name, Family Name:  ……………………………………………………………..
Sci. Degrees: ……………………………
2.	E-mail address (obligatory): …………………………………………………..............
3.	Full Postal Address: …………………………………………………………………….
…………………………………………………………………………………………………

4.	Fax number: ……………………… Personal telephone number:……………………
(Please add full necessary codes. This is in case we need to contact you)

5. I will need Hotel Accommodation (Preliminary Info), in: □ 3 stars-hotel; □ 4-stars hotel; □ single room; □ 1 bed in double room (to share with ………………………..)        
6.   □ I plan to present a Talk, Title: ……………………………………………………… 
 …………………………………………………………………………………………………
□ Abstract is attached as a file (name): ………………………………………………….
Appropriate Section (Please, choose 1 or 2 of the Symp.Topics): ……………………………………………………………………………………………..…..                                                                                      
□ I do not plan to present a talk