DIMACS Workshop Registration Form
DIMACS Workshop Registration Form
Workshop on Microsurveys in Discrete Probability
June 2 - 6, 1997
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: ..................................
Please email this form to Pat Pravato:
pravato@dimacs.rutgers.edu
or send by regular mail to
Workshop Coordinator
DIMACS Center
P.O. Box 1179
Busch Campus
Rutgers University
Piscataway, NJ 08855-1179
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Document last modified on August 25, 1998.