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REGISTRATION
Workshop: Entanglement, Integrability and Topology in Many-Body Systems
September 17 - 21, 2018
* MANDATORY FIELDS
IDENTIFICATION*
TITLE*
Ms
Mr
Dr
Professor
Professor Dr
NAME*
Given Name
Family Name
OCCUPATION*
FACULTY/RESEARCHER - WITH GRANT
FACULTY/RESEARCHER - WITHOUT GRANT
POSTDOCTORAL FELLOW
GRADUATE STUDENT (2ND AND 3RD CYCLE)
UNDERGRADUATE STUDENT
ELEMENTARY OR SECONDARY SCHOOL PROFESSOR
INDUSTRIAL RESEARCHER (Industry, Finance, etc.)
UNEMPLOYED
SELF-EMPLOYED
Other
SEX* (for statistical purposes)
Female
Male
AFFILIATION*
Affiliation
Department
Address of Affiliation
City
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CORRESPONDENCE ADDRESS
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Correspondence address
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TELEPHONE (with dialing code), EMAIL ADDRESS AND WEB SITE
Email address*
Secondary email address
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REGISTRATION FEES*
Registration fees are non-refundable.
Registration Fees $CAN
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Faculty/Researcher - without grant or retired
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TOTAL FEES
Total fees $CAN
PAYMENT *
By credit card only.
Credit card information must be valid until the beginning of the workshop.
The following amount will be debited from your credit card.
Payment Card
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Expiry date on credit card MM/YYYY
MISCELLANEOUS INFORMATION
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