Dates you plan to Attend: 
     Do you plan to attend  
     dinner on January 11:


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             Your Position:
Researcher
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Your Postal Address: (This information will be used for nametags & mailing lists)
      Name of organization: 
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         Organization Type: 
AT&T Research
Bell Labs
Bellcore
DIMACS member - Rutgers
NEC Research
Princeton University
Rutgers University
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