Send ICSP3 Registration Form to: ICSP3 Registration c/o Pegasus Systems 125 Beechwood Road Summit NJ 07901
Please circle fees you are paying. The lower rate applies to registration received before September 23. Request for refunds of registration will be honored through September 30.
Advanced Registration Fee (before September 23): US $300 Students US $100 Late Registration Fee (after September 23): US $350 Students US $120
Conference registration includes copy of proceedings, coffee breaks, Monday night reception (except the students), and lunches Monday and Tuesday.
TOTAL amount enclosed: ___________________________________ Name (for name tag): _____________________________________ Affiliation (for name tag): ______________________________ Address: _________________________________________________ City: ____________________________________________________ State/Province: __________________________________________ Postal code/Zip code: ______________ Country: ____________ Tel: ______________________ Fax: _________________________ Email: ___________________________________________________ [ ] Check [ ] VISA [ ] Mastercharge Credit Card Number: ______________________________________ Credit Card Expiration Date: _____________________________ Signature: _______________________________________________
This information last updated Tue Jun 7 16:03:21 EDT 1994