The Industrial Mathematics Institute   (IMI)

Registration Form for International Conference on "Approximation and Computation"

Charleston, South Carolina, May 12-17, 2001

1. Personal Data

Last Name: 
First Name: 
Title (for invited speakers):
Organization:
Address: 
Country: 
Phone: 
Fax:
E-Mail: 

2. Name/Affiliation as it should appear on your badge

Institution/
Name: 
Affiliation:

3. Dates

Date of arrival:  //2001
Date of departure:  //2001

4. Registration fee

Please select a registration category:

Participant Fee USD 150
Participant and Spouse Fee USD 320

5. Payment method registration

Please select a payment method:

Money order or U.S. bank-check by mail (US currency only)
Pay at conference
Credit Card (please send this information by mail only)

                VISA                MasterCard

                Card Number ______________________
                Expiration Date ___________________

Please send or fax to:

"Approximation and Computation" Workshop
Industrial Mathematics Institute
Department of Mathematics
University of South Carolina
Columbia, SC 29208
USA
fax: 803-777-6527