REGISTRATION/HOTEL RESERVATION FORM Dynamics Ideas in Geometry, Topology and Number Theory Conference honoring Svetlana Katok's birthday Penn State, May 5-6, 2007 (Please complete and return to as soon as possible) NAME:___________________ TITLE: Professor ___ Postdoc ___ Grad Student ___ YOUR GENDER: Male ___ Female ___ EMAIL ADDRESS: ___________________ TRAVEL DATES (to and from State College) I will arrive at ______ (time) on May ___ (date) I will depart at ______ (time) on May ___(date) We have reserved a block of rooms at Days Inn hotel (under the code name "KTOK") at a rate of $82/night + taxes. WOULD YOU LIKE THE ORGANIZERS TO RESERVE A ROOM UNDER YOUR NAME AT DAYS INN HOTEL? Yes___ No___ ARE YOU PLANNING TO SHARE A DOUBLE ROOM? Yes___ No___ If YES, with whom? ________________________ The cutoff date for hotel reservations is April 11, 2007. Please inform the organizers immediately of any changes to your lodging accommodations should you decide to change your arrival/departure days or if you should decide not to attend by emailing .