DIMACS Workshop Registration Form

                    DIMACS Workshop Registration Form
                 DIMACS Research and Education Institute
			 June 24 - July 12, 1996
     			  Princeton University 

Please complete and then mail or email the following registration form to
epfoley@dimacs.rutgers.edu or Elaine Foley, DIMACS, Rutgers University, 
Piscataway, New Jersey 08855. 

      DIMACS DREI Registration Form 

      June 24-July 12, 1996 

      Name: ................................. Title: .................... 

      Affiliation: ........................... Student? ............. 

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

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

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

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

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

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

      Dates of Attendance: .................................................
 

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