The 71st Midwest Partial Differential Equations Seminar May 11-12, 2013 Registration First Name    Last Name Affiliation Email    Phone Invited Speaker      Faculty      Student ** For previously invited speakers only. ***** If you have been invited to speak at this conference, please fill in this section. Talk Title Talk Abstract If you are submitting a Poster: Poster Title Poster Abstract Dates you will attend:     Sat 5/11       Sun 5/12      Other time constraints: Banquet, May 11 - Please check if you will attend:     Yes     No       How many additional persons: Dietary restrictions:       If you request funding: Full funding is available for plenary speakers. Partial funding is expected for other speakers and graduate students presenting posters. If you desire reimbursement for travel and/or lodging, please check if you request such funding. Yes     No Hotel Plenary speakers already have reservations at the Campus Inn.   All other participants should make their own hotel reservations. See the Lodging page for complete information and further instructions. Thank you for your Registration!          For website problems, contact Webmaster