SCICADE99 REGISTRATION FORM
                 http://www.maths.uq.edu.au/~kb/scicade99/
                            9 - 13 August 1999
                   Fraser Island, Queensland, Australia


DATE OF COMPLETION OF THIS FORM:
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PARTICIPANT
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Title:         
First Name:         
Family Name:
E-mail:
Organization:
Address:
City:            
State/Province:
Country:         
Zip/Post code:
Phone:
Fax:
Supervisor/advisor (for a student):


REGISTRATION FEE
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[ ] A$300 - Early bird registration by May 1
[ ] A$350 - Final registration by July 31
[ ] A$100 - Student registration


CONFERENCE DINNER
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Please specify the number of seats to reserve at the conference 
dinner for yourself and your accompanying persons (A$60 per seat).

__ seat(s) at the conference dinner


PAYMENT METHOD
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If you wish to pay by cheque or do not wish to send your credit card
details on the net, the postal mail address for notifying us how to clear
your payment is:

    SciCADE99 Conference
    Department of Mathematics
    The University of Queensland
    St. Lucia, QLD 4072
    Australia

The fax number for notifying us of credit card details is:
    +61-7-33651477

    Please indicate on your fax that it is for the attention of the
    SciCADE99 organisers.

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Please tick the appropriate boxes for your payment method.

[ ] Check in Australian dollars payable to the University of Queensland

[ ] Telegraphic transfer
    Payment details:
    Bank:       Commonwealth Bank, St Lucia Branch
    BSB:        064 158
    Account No: 00550022
    Name of Ac: University of Queensland No1 Account                       
    Reference:  ACMC - ____________________________ (add your name)

    Please make sure to add your name in the reference. The account is
    a shared account and deposits have to be tracked to ensure that they
    are passed on to the intended recipient and for the intended purpose.

[ ] Please charge my credit-card with A$______

    [ ] Visa    [ ] Mastercard

    Name on credit card:

    Billing address (of card holder):
    City:                 
    State:  
    Zip/Post Code:

    Credit card number:  
    Expiry date (MM/YY): 

    Signature:
    (not required for the electronic registration via the form on the web)


[ ] I request a receipt now (otherwise receipt will be issued at the
    conference)



PAPER SUBMISSION
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If you will be presenting a paper, organising or taking part in an
existing minisymposium, please answer the following questions as
appropriate.


CodeNumber of minisymposium:


Title of your paper:


Abstract:

























Particular comments: