ICCPOL'97 REGISTRATION FORM

Last Name :______________________ First Name :___________________ Organization :____________________________________________________ Address :________________________________________________________ City :__________________________ Country :_____________________ Telephone :_______________________ Fax :_________________________ E-Mail Address :__________________________________________________

Registration Fee

Category Before March 1 After March 1 (include March 1) Amount OLCS Member* US$ 280 US$ 300   Non-member* US$ 300 US$ 320   Student (Technical Program Only) US$ 150 US$ 175   Local High School Teachers (Technical Program Only) US$ 150 US$ 175   Banquet Only US$ 50 US$ 50   Proceedings US$ 50 US$ 50   * Banquet, proceedings and technical program are included.

Total Amount : US$ ________________ OLCS Member No._________________

Date __________ Signature __________

We accept both US dollars and Hong Kong dollars (US$ 1 is about HK$ 7.7).

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ICCPOL'97   Registration Form