======================================================================
                         REGISTRATION FORM

                            Workshop on 
              Nonlinear Partial Differential Equations 
                    and Applications to Materials


                      University of Minnesota
                      April 30 -- May 2, 1999

      To guarantee hotel space, registration is encouraged by
  Friday, March 5th, 1999.  Later registrations are also accepted.
                   There is no registration fee.


  Name ___________________________________________________________


  Email address __________________________________________________


  Address ________________________________________________________


          ________________________________________________________


          ________________________________________________________


  Telephone_______________________________________________________


  FAX_____________________________________________________________


  Arrival Date____________________________________________________


  Departure Date__________________________________________________
   _
  |_|  I am currently registered as a graduate student, and would like 
  to apply for financial assistance to defray workshop travel and local 
  expenses.

  If you are a student applying for financial assistance, you should 
  have one letter of recommendation, addressing your qualifications, 
  sent from your advisor or department chairman to gulliver@math.umn.edu 
  or by mail to Prof. Robert Gulliver, School of Mathematics, University 
  of Minnesota, Minneapolis, MN 55455.  The deadline for application for 
  support of graduate students was Friday, February 5th, 1999.  The 
  availability of funds for later applications cannot be assured.


  Please e-mail the completed form to gulliver@math.umn.edu .

======================================================================