International Conference on Logic Programming (ICLP'99) Registration Form

Reduced Registration Rates have been extended to November 5th.

Please fill in the information below (or fill the text form and mail it to iclp99@cs.nmsu.edu)
(* indicates compulsory fields)

Last Name: *
First Name: *
Title: Prof. Dr. Mr. Ms.

Affiliation:
Address: *
City: *
Zip/PostalCode: *
Country: *
Email: *
Phone:
Fax:

ALP Member: YES NO
ALP membership number:

Student: YES NO

ICLP
LPNMR (in addition to ICLP)
NLULP
Workshop only (no ICLP) Desired Workshop Proceedings:

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Note: after clicking SUBMIT you will receive an e-mail form. Please include this form with your payment. If you opt for Credit Card payments, you will be required to either e-mail, fax, or send the form with your credit card information (number and expiration date)