Form for Registering by Fax and Mail

First Workshop on Knowledge-based Systems Interoperability

3 & 4 November 1997

Conference Fee: $80

NOTE: You will need to make hotel arrangements separately.

Family Name:____________________________________________

Given Name:____________________________________________

Address1: _________________________________________________

Address2: _________________________________________________

City and State: ____________________________Country:____________

Phone: _____________________ Fax:______________________

E-mail:______________________

Payment Method:

Mastercard___

VISA___

DISCOVER___

Check Enclosed____

Purchase order____

Payment of $80 is authorized.

Name Shown on Card______________________________

Card Number_____________________________________

Expiration Date:______________

Signature____________________________________

Please make out checks and purchase orders to NIST/KBI.

Instructions:

Print this form.

Fill it in.

By 27 October either:

Fax this form:

NIST Office of the Comptroller

FAX: 301-963-5972

or Mail this form to:

NIST Office of the Comptroller , A807 Administration Building, Gaithersburg, MD 20899-0001 USA

Please direct all registration questions to:

Lori Phillips, NIST Conference Office, phone: 301-975-4513, or E-mail: lori.phillips@nist.gov.

Refund Policy: Requests for cancellation and refund must be received by Lori Phillips, in writing, by 20 October 1997.

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