Housing Form for Summer School in Probability 2008

 University of British Columbia
June 11 - July 8, 2008 		Pacific Institute for the Mathematical Sciences University of British Columbia

Registration Form

Privacy Statement: The information requested on this form is collected under the British Columbia Freedom of Information and Protection of Privacy Act for the specific purpose of request for registration in the Housing Form for Summer School in Probability 2008 and will not be shared with 3rd parties. For the purposes of compliance with the Act, we request that business/academic contact information, rather than personal contact information be provided wherever possible.

For information about the collection and use of this information please contact the PIMS Central Office at the University of British Columbia 604-822-3922.

If you would like to book a room at Walter Gage Towers through PIMS at $47/night, please complete the fields below. A credit card will be required to complete this booking.

Please provide the following details.

Mandatory fields in orange.

Given Name:
Family Name:
Email:
Number of rooms:
Date of arrival:
Date of departure:


© 2006 Pacific Institute for the Mathematical Sciences