----------------- Cut here and E-mail ------------
To :
Tsutomu Sasao
Dept. of Computer Science
Meiji University, Kawasaki 214-8571, Japan
E-mail sasao@ieee.org

           Reed-Muller 2013 Registration FORM

 (Please type or print in block letters.)
  Name:
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          (First and Middle)  (Family name)   

 Title: [Prof. Dr. Mr. Ms.])
 
  Affiliation:
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 Mailing Address: [Office,  Home]


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  Country:
  Tel:
  Fax:
  E-mail:
      
 PAYMENT: 
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                    Before April 10    After April 10
  Participant       [ ]  Yen 8,000-    [ ]  Yen 10,000-

1.Admission to the technical sessions. 
2.Conference material, including a Proceedings USB. 
3.Coffee breaks, dinner and lunch.


PAYMENT
  Total:                       Yen.             
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Payment of the pre-registration fee should be done through the same site as ISMVL-2013: