FIPA at UMBC
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Registration form

18th FIPA Meeting
Baltimore, MD USA
July 17-21, 2000

Please either fill out and submit the web form on this page web form, or you can print and fax this form.

Given Name:
Family Name:
Affiliation:
Address:
City:
Zip:
Province/State:
Country:
Telephone:
Facsimile:
E-mail:
web page:
Days I will attend Mon Tue Wed Thr Fri
I will attend banquet Yes, just me Yes, with a guest No
dietary requirements Vegetarian
I am a FIPA member Yes No
First FIPA meeting? Yes No
I am submitting a proposal or comments Yes No