REGISTRATION FORM

NAME:__________________________________________________________________________

AFFILIATION: _________________________________________________________________

MAILING ADDRESS: ____________________________________________________________

                                         ____________________________________________________________

EMAIL ADDRESS:   _____________________________________________________________

AREAS OF RESEARCH INTEREST:  _____________________________________________

                                                                      _____________________________________________

       Hotel room desired?         Yes [   ]       No [   ]

                   If yes, then price Range:

                               Dorm room ( $20)      [   ]

                               Sleep Inn (  $50)         [   ]

                               Holiday Inn ( $60)      [   ]

REGISTRATION FEE:

$200 payable to New Mexico State University by a check (US banks only) or by credit card.
           
If paying by credit card (only Visa/Mastercard/Discover):

                      Credit card type: _____________________________________________

                      Credit card number: ___________________________________________

                      Credit card exp. date: __________________________________________
 
 

Please mail the registration form and your payment by postal mail to:

                                Gopal Gupta (CLP Summer School)
                                Department of Computer Science
                                New Science Hall/Stewart Street
                                NMSU, Box 30001/CS
                                Las Cruces, NM 88003, USA
 

Deadline for receiving registration form: JUNE 20th, 1999.