Performance Engineered Systems

Registration Form


Annapolis, Maryland, USA
August 19-21, 1998


 

Chair, Dr. Joel Saltz

Co-Chair, Dr. Alan Sussman

Conference Organizers: Andrea Busada and Therese Forbes

 

Name: ____________________________________________________

Affiliation: ________________________________________________

Address: __________________________________________________

_________________________________________________________

_________________________________________________________

Telephone: ___________________________

Fax: ________________________________

E-mail: ______________________________

$200 Conference fee due July 19, 1998

$100 Student fee due July 19, 1998

Students must provide a copy of a student I.D. card or a letter from an advisor for proof of student status.

Registration fee includes:

Do you have any special dietary requirements? Yes______ No:_______

If yes, please specify:_____________________________________________________________________________

Amount Enclosed: $________________

Method of payment:

____ Check. All checks must be in US dollars and payable to "University of Maryland"

____ University of Maryland FAS #:_______________________________________

____ Visa ____ Mastercard ____ Discover Card

Card number: _______________________________________

Expiration date: _________________

Name appearing on card: ________________________________________

Signature: _________________________________________

DISCLAIMER: Registration by mail or fax is strongly preferred for security reasons. The Department of Computer Science is not responsible for lost or stolen credit card information and cannot guarantee the safety of Internet transactions.

University of Maryland's FEI Number: 52-6002033

PLEASE MAIL OR FAX BY JULY 19, 1998 TO:

Andrea Busada/Therese Forbes

Department of Computer Science

University of Maryland

A. V. Williams Building, Room 4157

College Park, MD 20742-3255, USA

Tel.: (301) 405-8384 Fax: (301)405-2744