university of calgary quantum information science

This form will allow you to register for the Seventh Annual Quantum Information Students Conference
(12-16 July 2010)

Registration is free but mandatory.

Back to Student Conference web page

* fields required, tab between fields

Register for the Quantum Information Students` Conference:

First names*:

Last names*:

Gender: Male Female

Department:

University or Institution*:

Mailing Address:

Country:

email*:

confirm email*:

web address:

phone:

fax:

Position:

Name of Advisor (if applicable):

How did you hear about this school and/or conference?

Preferred information on name tag:

Name:

Organization:

Will you require accomodation? Yes No

How many nights? all
or certain nights only: 11 12 13 14 15 16

Roommate preference (name)?

Will attend the banquet:
Yes No

Special dietary requirements (for banquet and lunches):

Will you be presenting a talk at the conference?
Yes No

Will you be presenting a poster at the conference?
Yes No

Tentative title of conference talk or poster:

You will be asked to submit an abstract.

Will you be presenting a talk at QuNo?
Yes No

Tentative title of QuNo talk:

Any additional information:

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Last updated May 23, 2010