1999 CONFERENCE ON INFORMATION SCIENCES AND SYSTEMS PRE-REGISTRATION FORM (Please complete the information below. If you are expecting to receive the Proceedings, be sure the address information is sufficient.) NAME______________________________________________________________ (Last) (First) (Middle Initial) MAILING ADDRESS _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ (City) (State) (ZIP) Telephone: ___________________________ EMAIL: _______________________________ PAYMENT: Please mark only one of the following. (If you are paying for someone else, that payment should be noted on their registration form.) _____ Paid Student Rate ($60--NO PROCEEDINGS) _____ Paid Discounted Full Registration Rate ($180--PAYMENT MUST REACH THIS OFFICE BY MARCH 12 OR YOU WILL BE CHARGED AN ADDITIONAL $20 AT THE CONFERENCE.) _____ Paid for EXTRA Proceedings ($120 a set--in addition to the set that comes with full registration) How many extra? _____ _____ TOTAL PAYMENT ___ Check if paid by someone else's check. Whose? _______________________ Mail to: CISS Conference Dept. of Electrical and Computer Engineering 105 Barton Hall The Johns Hopkins University Baltimore, MD 21218-2686