Conference Registration

1996 IFSICC CONFERENCE REGISTRATION

Name: Prof/Dr/Mr/Ms

Designation

Organization

Address

Address

Telephone

Fax

E-mail

PAYMENT

Please provide the following information:

(__) Check or money order payable to IFSIC in the amount of US$395.00
(__) MasterCard
(__) VISA

Credit card number:

Expiration date:

Signature

AUDIO-VISUAL REQUIREMENTS

Please specify:

Overheard projector

Slide projector

Please send conference registration to:

Thomas L. Ward
Industrial Engineering
University of Louisville
Louisville KY 40292
USA