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Registration


Title: 
 
Name:
Email:
Affiliation:
 
 
Address:
City:
State: 
Zip Code: 
Phone:
FAX:
 

Registering as:
Student ($375)
ACM Member ($475)
Regular ($525)
Dietary restrictions:
Vegetarian
Please indicate the meals that you plan to attend:
  10/27/04 10/28/04 10/29/04
Breakfast
Lunch
Dinner  
Registration includes all meals, tickets to the Maryland Terrapins Football game, and conference proceedings for the attendee. Additional meals, tickets, and proceedings can be purchased below.

I am interested in purchasing additional tickets to the Maryland Terrapins Football Game on Saturday night at a cost of $45 each.

I would like to purchase extra dinner tickets at a cost of $40 each.

I would like to purchase extra Conference Proceedings at a cost of $50 each.


Total:


You may pay by check in U.S. dollars Payable to "UMIACS-MUM2004" or pay by credit card (fill in the information below).

Credit Card Type:
Credit Card Number:
Expiration Date: (mm/yy)
Name on Card:

 
 
Call for Paper | How to Submit & Deadlines | Registration
 
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