Winter School "Resonances: Scattering and Dynamics" Département de Mathématiques Bâtiment 425 Faculté des Sciences d'Orsay Université Paris-Sud F-91405 Orsay Cedex February 21-23, 2017 REGISTRATION FORM Please fill the following form and send it to Angela Pasquale angela.pasquale@univ-lorraine.fr, at your earliest convenience before February 17, 2017. ________________________________________________________________________ LAST NAME: FIRST NAME: ADDRESS OR INSTITUTION: EMAIL: Day of arrival: Day of departure: