DIMACS Workshop Registration Form

Workshop Coordinator

DIMACS Center

Rutgers University

96 Frelinghuysen Road

Piscataway, NJ 08854-8018

                    DIMACS Workshop Registration Form
                  DIMACS Fifth Implementation Challenge: 
             Priority Queues, Dictionaries, and Point Sets
			   October 28-30, 1996
     

Name:  ..................................

Title:  .................................

Affiliation:  ...........................      

Address:  ...............................

.........................................

.........................................

Country: ................................

Phone:  .................................

Fax:  ...................................

Email:  .................................

Talk title/topic:  .....................................................

Will you want to give a software demo?  Yes ....  No ....  Maybe  ......

Other special needs: ...............................................

To help us improve publicity and to gather information requested by
sponsors, please answer the following:

Is your position primarily:

Student: __   Faculty: __  Researcher: __  

Is your home institution:

University: __  Corporate Lab: __  Government Lab: __  

Other (Please describe):. ..............................................

How did you hear about this workshop: ..................................

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