Registration Form for WAFR 2000

(Print, fill out completely and mail with your check to the address below.
Registration must be received no later than Monday, February 28, 2000.
Please type or print clearly.)

Name: 
  
Affiliation: 
Mailing Address: 
 
City: 
  
State: 
 ZIP or Postal code:

 
Country:
E-mail:
Phone: 
 FAX:
Arrival Date: 
 Departure Date:
Dietary restrictions* 
(Circle 1) 
 NoneVegetarian
*Regrettably, we cannot accommodate requests for kosher meals,
as there are no caterers in the Hanover area who keep a kosher kitchen.

Registration Fee: $675 (Single occupancy room)

    $550 (Shared Room)
    I will be sharing a room with

____________________________________________


The registration fee includes hotel accommodations, a welcoming reception the evening of March 15, continental breakfast and coffee breaks for the three days of the conference, Friday banquet and Saturday closing "Surf & Turf" buffet, preprints of the proceedings and the WAFR 2000 book that will be mailed to you later in the year.

ONLY checks or money orders (in U.S. $ ONLY, drawn on a U.S. bank)  payable to ``Dartmouth College' can be accepted.
Sorry, we CANNOT accept credit cards.

Mail to:

David R. Bellows, WAFR 2000
Dartmouth College
Computer Science Department
6211 Sudikoff Laboratory
Hanover, NH 03755-3510

To pre-register, please FAX a copy of the completed form to 603-646-1672
(Payment must still be recieved by February 28.)