CogSci97 Registration Form

Name
Department
Institution
Street address
City State/Province
Postal code Country
Phone number Fax number

Electronic mail

Registration

On-campus housing and dining

Your Sex: Male Female

Assign a roomate? Yes No

Preferred roommate (if any):

Total

Please add the charges from above and enter the total here:

Payment

Method of payment: Visa Mastercard Check (see below)

Card number

Expiration date

Note that email is not a secure form of payment. If you would like a more secure system, you can run off the postscript version of this form, complete it, and send it with your credit card information (and signature) by air mail to:

Cognitive Science 1997
CSLI / Computational Learning Laboratory
Ventura Hall, Stanford University
Stanford, CA 94305 USA

If you are paying by credit card, you can also fax the completed form to Cognitive Science 1997 (Attn: Susan Stansbury) at (415) 725-2166.

If you are paying by personal or traveler's check (US dollars only), make it out to Stanford University and send it air mail, along with your completed form, to the above address.

Questions about registration? Email Susan Stansbury.


Last modified: Thu May 29 12:49:22 PDT