Online Application Form

Frontiers in Distributed Information Systems

Marriott Reach Resort, Key West, Florida
April 28 - May 1, 1996

Please provide all the information requested below. We will acknowledge receipt of your application by email, and let you know if space is available. Registration is $300, payable by check to "Caltech" or "California Institute of Technology." We cannot accept credit cards. If you wish to prepay, for example, with a corporate check generated by check request, checks may be sent to the Conference Administrator, whose address is at the bottom of the form. 
Name

First Name             
Last Name              
Organization           




Mailing Address


Street                 
 (Additional routing)  
City                   
State/Province         
Postal/Zip Code          
Country                  


Contact Information


Telephone              
Fax                    
Email                  


Name as it will appear on badge     
Special dietary requirements        
Area of interest and background:








Registration is closed, sorry





Refund policy: Prepaid fees will be refunded, less a $50 processing
fee, if notification is received in writing by April 1st. Cancellations received after April 15th canont be refunded; however a substitute registrant may
be accepted.
For those wishing to use conventional methods to submit an application,
please fill out the above form and send a printed copy to: 

Denise Prull 

451 North Sycamore 

Monticello, IA  52310



Email:  DLPrull@aol.com 

Phone: (319) 465-5585