NZ Computer Science Research Students' Conference Registration

I would like to register for the 3rd New Zealand Computer Science Research Students' Conference at a cost of NZ$25 (inc. GST).

Name ______________________________
Address ______________________________
______________________________
______________________________
______________________________

Type of Presentation
(tick one)
Full paper
Poster presentation
Other (please specify)

Payment method
(tick one)
Cheque
Mastercard
Visa
Mastercard/Visa No. ________ ________ ________ ________
Expiration Date __________
Name on the card ____________________
Card Signature ____________________

Cheques should be made payable to "The University of Waikato".
Mastercard or Visa payments must be posted with a signature.
Print this registration form, complete it and send it to:

David Bainbridge
Graduate Conference Organiser
Department of Computer Science
University of Waikato
Private Bag 3015
Hamilton, New Zealand

If you are submitting a paper or presenting in the poster session don't forget your letter of support from your supervisor.