Please fill in this form and return it to each of the two addresses pugurlu@bilgi.edu.tr sukran@tivronatours.com by April 15, 2012. Please also pay your hotel deposit as described at http://mat.msgsu.edu.tr/~aad/2012/deposit.txt by April 15, 2012. 1. Your name and last name: 2. Your university: (The above information will appear on your tag) 3. Status: student/faculty 4. (If student) your advisor: 5. Names of accompanying people if any: 6. Room preference: single/double/triple If you choose double or triple room, write the names of the people you want to share your room with (leave blank if you want Tivrona to choose your roommates): 7. Arrival and departure dates (normally May 15 and May 20): 8. If you are a vegetarian, please let Tivrona know: yes/no 9. Do you want to contribute a presentation (talk or poster)? yes/no 10. If so, the title of your presentation: (Also, for contributed presentations, please submit an abstract to pugurlu@bilgi.edu.tr by April 15 according to the guidelines given at http://math.msgsu.edu.tr/~aad/2012/abstracts.shtml ) 11. TC kimlik no (only if you are under 35 and want TUBITAK support): (If you are under 35 and work in a Turkish university, then TUBITAK may have partial support for you, but you must contribute a poster or talk.) Please do not forget to mail this form to both pugurlu@bilgi.edu.tr and sukran@tivronatours.com (Later communications concerning the hotel or transportation may be made with the latter address only.)