RoboCup Junior 2001 REGISTRATION
              ***** WORKSHOP ONLY *****
                   7-9 August 2001
                     Seattle, USA

This form is to register for the RoboCup Junior 2001 workshop.

Registration is a two-step process.
(1) Fill out the form below and return via email to: 
     sklar@cs.columbia.edu
(2) Fax or mail payment portion to:
     RoboCup Junior 2001, c/o Debbie Cavlovich
     Carnegie Mellon University
     Computer Science, Wean Hall 7114
     Pittsburgh, PA 15213, USA
     Phone: (USA)+1 412 268 4750
     Fax:   (USA)+1 412 268 4801 

Here are some details:
 The cost to attend the workshop only is US$10 per person.

Thanks!
--Betsy.

=============================================================
(1) ROBOCUP JUNIOR 2001 WORKSHOP REGISTRATION FORM
=============================================================

    Please fill out the following form and email it to:
     sklar@cs.columbia.edu

Name: _______________________________________________________

Contact details:
  street1: __________________________________________________
  street2: __________________________________________________
  street3: __________________________________________________
  city: _____________________________________________________
  state/province: ___________________________________________
  zip/post code: ____________________________________________
  email address: ____________________________________________
  phone: ____________________________________________________
  fax: ______________________________________________________




=============================================================
(2) ROBOCUP JUNIOR 2001 WORKSHOP PAYMENT FORM
=============================================================

    Please fill out the following form and send it, along with
    payment to:
     RoboCup Junior 2001, c/o Debbie Cavlovich
     FAX: (USA)+1 412 268 4801

    Or if you prefer, you can mail it:
     RoboCup Junior 2001, c/o Debbie Cavlovich
     Carnegie Mellon University
     Computer Science, Wean Hall 7114
     Pittsburgh, PA 15213, USA

Name: _______________________________________________________

Contact details (for contact person listed above):
  street1: __________________________________________________
  street2: __________________________________________________
  street3: __________________________________________________
  city: _____________________________________________________
  state/province: ___________________________________________
  zip/post code: ____________________________________________
  email address: ____________________________________________
  phone: ____________________________________________________
  fax: ______________________________________________________

Fee:
  Workshop Only Registration (US$10)...........US$ __________

Payment by credit card:
  [ ] Visa  [ ] MasterCard 
  Name as Appears on Credit Card:
  ___________________________________________________________
  Credit Card Number: _______________________________________
  Expiration Date: __________________________________________
                   (Month, Year, e.g. 08/02 or 08/2002)

You may also pay by check, in US$ funds. Mail the check along
with this form to Debbie Cavlovich at the address listed above.