Personal Details

Name* First name* Address Zip Code City Country Email* Telephone Fax Affiliation** Status* Student
PhD Student
PostDoc
School teacher
Academic
Other:

*  Compulsory fields
** University/school

Days of attendance

Please indicate the dates on which you wish to attend the conference.

02/09 03/09 04/09 05/09 06/09

Mathematical activity on Wednesday afternoon

We will organise an activity on Wednesday afternoon.

Would you like to participate?

Yes No

You will receive an invoice via email. Would you like to receive a signed copy of your invoice at the registration in the week of the BSSM ?

Yes No

Do you accept to have pictures of you taken during the BSSM and displayed on the BSSM website ?

Yes No

Remarks: