Video Surveillance and Monitoring Workshop
REGISTRATION


A workshop registration fee of $125 per person is required in advance. Please enclose a check made payable to Carnegie Mellon University with this form, and mail by October 20, 1997 to:

Carolyn Ludwig
VSAM Workshop
The Robotics Institute
Carnegie Mellon University
5000 Forbes Avenue
Pittsburgh, PA 15213 USA


  
Name: __________________________________________________________________
First Last M.I.

Company: _______________________________________________________________

Street Address: ___________________________________________________________

City: __________________________________ State: __________ Zip:____________

Country: ________________________________________________________________

Daytime Phone: ___________________________ Fax: ___________________________

E-mail:_________________________________________________________________


Please advise us if you have any special dietary needs:

________________________________________________________________________



Questions about registration? Please call Carolyn Ludwig at 1-412-268-7967.