GD '98 FAX PAYMENT FORM Please fax the form below to +1-514-398-3883. Do not send credit card information by email; use the GD '98 REGULAR MAIL PAYMENT FORM as an alternative. To complete your registration, return the GD '98 REGISTRATION FORM (separate) by email. **Registration fees go up August 1.** Writing styles differ from country to country. To ensure accuracy, please type the requested information. Full name: ______________________________________ email: ___________________ Early Regular _______CAD 275 (before August 1) Late Regular _______CAD 300 (after August 1) includes proceedings mailed in early 1999, lunches on Thurs. and Fri., banquet, and coffee breaks Early Student _______ CAD 150 (before August 1) Late Student _______ CAD 175 (after August 1) includes proceedings mailed in early 1999, lunches on Thurs. and Fri., banquet, and coffee breaks _____ (quantity) extra banquet tickets @ CAD 50 each: CAD ___________ Extra proceedings can be purchased directly from Springer-Verlag when they appear. Total payment: ___________ CAD Payment method: __VISA __Mastercard __AmEx Card Number: _____________________ Expiry date:____________ Cardholder Signature: ___________________________________________________ Full name as it appears on credit card: _________________________________ Credit card payments are processed in Canadian funds only. Fax to +1-514-398-3883. Make sure GD '98 appears on the top of your returned, completed fax.