DYCONS99
August 5-7, 1999
Chateau Laurier, Ottawa, CANADA


REGISTRATION FORM

(Please print in block letters)
Family Name (Prof./Dr./Mrs./Ms./Mr.)


First Name


Institution/Company


Department


Street/P.O. Box


Postal Code / City / Country                


Tel & Fax


E-mail Address


Registration Fee (By April 10, 1999) -- $325US
Registration Fee (After April 10, 1999) -- $375(US)
Banquet Ticket (Friday, August 6, 1999) -- $50(US)
(Registration forms without payment will not be considered.)
Payment
Money Order
Cheque

Please send fee and registration form to:
DYCONS99
275 Slater Street, 9th Floor
Ottawa, Ontario, Canada K1P 5H9
Fax: 416-978-0804
Arrival date:

Departure date:

Arrival after 6pm
Remarks


Signature



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Last Updated: March 3, 1999