REGISTRATION FORM

DYNAMICS & APPLICATIONS
September 8-12, 2008
Universidade do Minho, Braga, PORTUGAL

(Please complete and return to dynappl2008@math.uminho.pt as soon as possible)

FULL NAME:_________________________________

NAME TO APPEAR ON BADGE:__________________________________

TITLE: (check one) Professor ___ Postdoc ___ Grad Student ___

YOUR GENDER: (check one) Male ___ Female ___

UNIVERSITY AFFILIATION: (this appears on your name badge)

MAILING ADDRESS: 

EMAIL ADDRESS:

METHOD OF PAYMENT: (check one) Bank Transfer ___ Check ___

NOTE: If you want to submit a communication and/or a poster, please contact the organizer of the corresponding thematic session.

PAYMENT INFORMATIONS: Bank Transfer to the following account:  

      NAME: UNIVERSIDADE DO MINHO
      NIB: 003501710016732263015
      IBAN: PT50003501710016732263015
      SWIFT: CGDIPTPL
      BANK: CAIXA GERAL DE DEPÓSITOS - AV.ª CENTRAL - 4700 BRAGA
      COUNTER: BRAGA
      COUNTRY: PORTUGAL

Please include the payment information ''Dynamics and Applications 2008 Conference'' in the bank receipt. 
After bank transfer, please state clearly the ''Participant name'' and send a copy of the bank receipt, 
by fax or mail, to the address below. 

Our address to receive transfer confirmation or your check is

    Alexandra Pereira
    Centro de Matemática da Universidade do Minho
    Campus de Gualtar
    4710-057 Braga, PORTUGAL
    Tel: +351 253 604367
    Fax: +351 253 604369
    E-mail: c_mat@math.uminho.pt

A letter of confirmation will be sent by e-mail to each participant as soon as the registration form and payment are received. Receipts will be issued during the conference.