Print legibly using block letters:
After February 16
The registration fee includes coffee and snacks during
Note To Non-US Registrants:
If you are unable to obtain a check in US$, you may do the
following. Send your registration form with a check for an equivalent
amount in your own currency. We will not cash your check, but will
hold it as a deposit. When you arrive in Providence for the conference,
you can pay your registration fee in cash and we will return your
check to you. (We apologize for the fact that we are unable to accept
credit cards.)
Last Updated January 15, 2001.
NAME __________________________________________
AFFILIATION ___________________________________
STREET/BOX #: _______________________________
CITY: _______________________________
STATE/PROVINCE/ZIP: _______________________________
COUNTRY: _______________________________
EMAIL ADDRESS: _____________________________
(Include my email address in the participant list? YES NO )
Registration Fee: (circle amount enclosed)
Before February 16
Standard Fee: $100
Student Fee: $50
Standard Fee: $150
Student Fee: $100
the conference and the banquet on Thursday evening.
The standard fee also includes a copy of the proceedings.
No refunds after February 15. Cancellation fee of $25
before February 15. Substitute attendees are permitted.
Mail your registration form and
check made out to BROWN UNIVERSITY to:
CaLC Registration
Mathematics Dept. (Attn: Ms. Johnson)
Brown University - Box 1917
Providence, RI 02912 USA