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.


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

Phone: (319) 465-5585