REGISTRATION FORM
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Please return, via e-mail, this form before April 2, 2010 to:
             
                     erice2010@dis.uniroma1.it

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            Ettore Majorana Centre for Scientific Culture
         International School of Mathematics "G. Stampacchia"
                          52th Workshop

     Nonlinear Optimization, Variational Inequalities and Equilibrium Problems


                       July 2 - 10, 2010
                          Erice, Italy

                           


First Name:                        Surname: 

Male ( )     Female ( )

Date and place of birth:

Present nationality:

Affiliation:

Complete mailing address:

Country:

E-mail:

Web page:

Phone:                                  Fax:

Accompaniyng person:  NO ( ) 
                      YES ( ) name:


Young persons with only limited experience should enclose a scientific
curriculum vitae and a letter of recommendation from the head of
their research group or from an experienced  person  in the field.


I wish to contribute a lecture: 

NO ( )

YES ( )  TITLE:

         AUTHORS: 

         ABSTRACT: (Please use Latex)