By check. Please complete this form and mail it with
a check (payable to "ICDCS 2005”) in US Dollars that can be drawn
on a US
bank. If you register by e-mail,
please send your check separately by air mail.
Please send you registration and/or check to:
Ms. Elizabeth
O'Neill
Dept. of Computer Science and Engineering
The Ohio State
University
2015 Neil Avenue, Columbus, OH
43210-1277, USA
Tel: +1-614-292-7084; Fax: +1-614-292-2911
E-Mail: oneill@cse.ohio-state.edu
By credit card. You may also use a credit card
for payment. Please fill out the credit card information, print the
form, sign it, and then mail or fax it (to the above address).
Please charge my:
VISA
MasterCard
Name of Cardholder:
Credit Card No:
Expiration Date:
Signature: __________________________________________
Date: ______________
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