DIMACS Workshop Registration Form November 10 - 12, 1994 Name: .................................. Title: ................................. Affiliation: ........................... Student? ............. Address: ............................... ......................................... ......................................... Phone: ................................. Fax: ................................... Email: ................................. Talk title/topic: ..................................................... Will you want to give a software demo? Yes .... No .... Maybe ...... Special meal requirements: Kosher ...... Vegetarian ....... Other special needs: ...............................................