Symmetries and Reflections

May 21-22, 1999

PERSONAL INFORMATION:
 Name as it should appear on name badge:

   First: ___________________   Last: ______________________________

   Affiliation: _________________________________________________________________ 

 Mailing Address:

   Street: ______________________________________________________________________

   City:   ___________________________  State: _________ Postal/Zip Code: _______

   Country:   ________________________

   Day Phone: ________________________  Fax: ________________________ 

   Email:     _______________________________________________________

TRAVEL INFORMATION:
 Mode of Travel:  ___ Car     ___ Train

                  ___ Air (Arrival Airport:  ___ JFK   ___ LaGuardia   ___ Islip)

 Arrival Date:   _____/_____/_____   Time: ________   Airline/Flight #: _____________

 Departure Date: _____/_____/_____   Time: ________   Airline/Flight #: _____________


 Daily transportation from hotel to campus needed: ___ Yes   ___ No

 Parking Permit Required: ___ Yes ___ No

FEES FOR PARTICIPANTS:
  Registration:               Cost if received on or          Cost if received
                              before April 29, 1999           after April 29, 1999

  (Please circle one:)        $125                            $150

  Includes coffee breaks, two lunches, one dinner, a concert and the banquet.
  Transportation will be provided between the Holiday Inn and the campus.

  Please circle your choice of banquet entree:

             filet mignon             poached salmon           pasta primavera



ADDITIONAL BANQUET TICKETS
  Single Ticket:               Cost if received on or         Cost if received
                               before April 29, 1999          after April 29, 1999
                                                              (Subject to Availability)

  (Please circle one:)         $50                            $60

  Number of Tickets:           ___                            ___

  Please circle and give numbers for each banquet entree:

             filet mignon (  )        poached salmon (  )      pasta primavera (  )


TOTAL:

   Please sum all the above amounts:              Total:  $ _________


Make checks or money orders payable to "Stony Brook Foundation Acct. # 284100."

Please note our cancellation policy: There is a full refund for
cancellations before April 8, 1999, a 50% refund for cancellations
between April 9, 1999 and April 29, 1999 and no refund for cancellations 
after April 30, 1999.

Mail payment and registration form to:

   Office of Conferences and Special Events
   440 Administration
   State University of New York at Stony Brook
   Stony Brook, NY, 11794-1603
   U.S.A.