### DIMACS Workshop Registration Form

### Algorithm Engineering and Experimentation

### January 15 - 16, 1999

Please register by filling out the following blanks.

When finished and you have checked the correctness of information, press the "send" button at the bottom of the form.

Attendance is limited to available space; please register early.

There is a $90 registration fee for this workshop, to be collected onsite. Participants in the DIMACS Challenge do not need to register separately - the ALENEX registration is sufficient. It is necessary to register separately for SODA, and to make your own hotel arrangements. SIAM has extended its room-rate agreement with the Baltimore Omni Hotel to the ALENEX workshop, so be sure to mention ALENEX and/or SODA when you call the hotel.

      Dates you plan to Attend:

               Your First Name:
              Your Middle Name:
                Your last Name:

                 Your Position:   (Please select best choice with button.)

    Your Postal Address: (This information will be used for nametags & mailing lists)
          Name of organization:
                                (University or Company Name)

             Organization Type:   (Please select best choice with button.)
                    Department:
                Street Address:
         City, State, Zip Code:
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                         Phone:
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Comments: (i.e. dietary restrictions)

Please contact the organizer(s) directly if you would like to submit a paper or poster.

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