DIMACS Workshop Registration Form



                    DIMACS Workshop Registration Form
               DNA Based Computers: A Mini DIMACS Workshop
			      April 4, 1995
     

Name:  ..................................

Title:  .................................

Affiliation:  ...........................      Student?  .............

Address:  ...............................

.........................................

.........................................

Phone:  .................................

Fax:  ...................................

Email:  .................................

Talk title/topic:  .....................................................

Will you want to give a software demo?  Yes ....  No ....  Maybe  ......

Other special needs: ...............................................

Document last modified on March 27, 1995