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From: govin-k@cs.buffalo.edu (Kannan Govindarajan)
Subject: E-mail registration for ILPS'94
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Date: Wed, 19 Oct 1994 22:54:02 GMT
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REGISTRATION FORM: ILPS'94
International Logic Programming Symposium, November  13-17, 1994
Ithaca, New York, USA
__________________________________________________________________
Please mail to: Mathematical Sciences Institute Tel:  (+1) 607-255-8005
                Attn: ILPS'94                    FAX: (+1) 607-255-9003
                409 College Ave.
                Ithaca, NY 14850, USA

               E-mail: ilps@msiadmin.cit.cornell.edu
_____________________________________________________________
        Name: _________________________________________
        Affiliation:____________________________________

        Address: ______________________________________________________ 
        Telephone: __________________  FAX: _________________________
        Membership organization & number: ___________
         E-mail: __________________________________
        Dietary Restrictions:  Vegetarian ___________________
        Other (specify) ______________________________________
       Other special needs:_____________________________________________

Check the social activities you plan to attend:
(All are included in the full registration fee.  Student registration does
not include the Banquet.  Additional Banquet tickets may be purchased for
$50.00) The following information is needed for proper planning of the
events.

        ___ Opening Reception Nov. 13
        ___ Tour of Art Museum Nov 15.  (Limited to first 60)
        ___ Piano Concert Nov. 15
        ___ Banquet Nov 16.
                Select entree:  ___ Prime Rib
                                ___ Salmon

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_

Presenters indicate audio-visual requirements:

        ___     Overhead Projector
        ___     Chalk Board
        ___     Other (state) __________________________

Note: There will be a Sun Sparcstation with color screen available for
software demonstrations. Please notify conference registration office to
reserve time on the computer.

                               
Conference Fees:        Before October 17               After
October 17
        Member                  US$350                  US$385
        NonMember               US$375                  US$410
        Student                 US$150                  US$165
Workshop Fees:  Each workshop: US$20. Workshop only participants: US$60 per
workshop. Please check the appropriate workshop(s).:
        W1 ______ W2 _______ W3 _______ W4 _______ W5 _______

Total Payment:  US $ _________________________

Payment can be made by check drawn on a US bank or money order in American
dollars. Please make checks payable to Cornell University: ILPS'94. You can
also pay by Visa, MasterCard, Discover, American Express, or Diners Club.

        Cardholder's name: ______________________________

        Type of card and Number: ______________________________

        Expiration Date: _____________________

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HOTEL REGISTRATION INFORMATION

Reservations should be made with the

        Sheraton Inn Ithaca             Tel# 607-257-2000
        Attn: Roseann Kuti              FAX # 607-257-3998
        One Sheraton Drive
        Ithaca, NY 14850

Deadline for hotel reservations is October 11, 1994




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