REGISTRATION FORM (Preferably by e-mail to cnf at uleth.ca with copy to hadi at cs.uleth.ca) The Second Lethbridge Workshop on Designs, Codes, Cryptography and Graph Theory July 9 - 14, 2001 __________________________________________________ Last Name First Name __________________________________________________ Institution or Organization __________________________________________________ Address __________________________________________________ City Province or State Postal-Code Country __________________________________________________ Day Phone Evening Phone __________________________________________________ E-mail Do you wish to present a paper? YES NO (Please send abstract and title by July 1, 2001.) If you want to reserve an on-campus suite please specify: Single/Couple: _______________ Expected arrival and departure dates: ________________________ Payment Options (if you are concerned about security, you may contact Conference Services at phone number (403) 329-2244, or fax the credit card number to FAX number (403) 329-5166.) 1) Visa __ MasterCard __ : Card Number: _____________________________ Expiry Date: ______________ Name on card: _______________________________ 2) Cheque __ Money Order __ : Please make your cheque or money order payable to the University of Lethbridge, indicate RE: DCCG Workshop on cheque, and mail to: DCCG Workshop c/o Conference Services University of Lethbridge, Lethbridge, Alberta T1K 3M4 CANADA