On-line Registration Form

Geoffery J. Butler Memorial Conference
on Differential Equations and Population Biology

July 25-30, 2011
University Alberta
Edmonton, Alberta, Canada

 

Important Deadlines

Talk and Poster Abstract June 30, 2011
Submission to Conference Proceedings July 30, 2011
Apply for Student Support April 30, 2011

Please fill in the information, and then click the "Submit Form" button at the bottom of page. Mandatory Field*

Contact Information

Status*:
Last Name*  First Name*  Middle Initials 
Affiliation Country* 
Mailing Address*
Phone*    Fax*   Email* 

Accommodation and Travel

Date of arrival (in Edmonton) (MM/DD)*         Date of departure (MM/DD)*  

I will stay at   Lister Centre residence     Other Hotels

Participants are responsible for making their own accommodation arrangements. The accommodation page listed accommodation choices and information for reservation.


Talk/Poster Abstract

I will give a presentation at the conference*   Talk     Poster     No

Title of your presentation* 
Abstract of your presentation*  (LaTex codes are encouraged)

Registration Fees (in Canadian Dollars)


The registration fee includes conference program, morning and afternoon coffee breaks, receptions, conference banquet, and a BBQ dinner.
Fee category Registration Fee
Faculty $240
Students/PDF/Retired $120

Payment Options

Total payment:        

Please select one of the following payment options.

(1) By credit card online.      (Note: this is not a secure server.)
  
Card type:      Card number  
Expiry date (MM/YY):  /        Name on card:  

(2) By credit card and fax.   
Please download and fill out the hardcopy registration form, and fax the form with your credit card information to:
Butler Conference (att'n: Dr. Michael Li)   Fax number: 1 (780) 492-6826.


Studentship Application

A number of Studentships (up to $1,000 each) are available to graduate student participants, to partially offset their travel and local expenses for participating in the conference. The amount of each scholarship will be determined by the actual individual expenses and the number of applications.

Do you wish to apply for a studentship?    Yes          No

Please provide the following information if you are applying for the scholarship.

Name of your research supervisor/advisor:        Email:   Institution:  



Special diet and other needs, comments, etc.

  

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