REGISTRATION FORM

CHOOSE 1999 FORUM ON OBJECT-ORIENTED SOFTWARE ARCHITECTURE

Please fill out this form and send it to

Schweizer Informatiker Gesellschaft
Schwandenholzstrasse 286
CH-8046 Zurich
Phone: 01 371 7342
Fax: 01 371 2300

Name:
_________________________________________________________

Invoice Address:
_________________________________________________________

_________________________________________________________

_________________________________________________________

Company:
_________________________________________________________

E-mail:
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SI Member Number:
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CHOOSE Member:                       Yes: [  ]   No: [  ]
Student (supply proof):              Yes: [  ]   No: [  ]
Unemployed:                          Yes: [  ]   No: [  ]
Vegetarian meal required:            Yes: [  ]   No: [  ]
Please bill me:                      Yes: [  ]   No: [  ]
Please charge my credit card:        Yes: [  ]   No: [  ]
Eurocard:                            Yes: [  ]   No: [  ]
Visa:                                Yes: [  ]   No: [  ]
American Express:                    Yes: [  ]   No: [  ]

Card number: 
_________________________________________________________

Expiry date: 
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Cardholder name or
Cardholder address:
_________________________________________________________