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 STRING THEORY AT THE MILLENNIUM, JANUARY 12-15, 2000, CALTECH

          CIT-USC CENTER FOR THEORETICAL PHYSICS
     
          CONFERENCE FEE PAYMENT BY CREDIT CARD  
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 Name:  ....................................................
     

 Address:   ................................................
            

            ................................................


            ................................................


            ................................................


 E-mail:    .................................

 
 Phone (Work): ....................


 Fax:          .................... 



The conference registration fee is $100 if payment is 
received before December 1, 1999. 

For payments after that the fee increases to $200. 

This fee does not cover the banquet. The banquet fee is $50 
per person (one guest maximum).  


Your registration is not complete until your fees 
(registration fee plus banquet fee, if applicable) have 
been received. 


 Card Type:  ....   American Express

             ....   DiscoverCard 

             ....   MasterCard

             ....   VISA



 Card Number:  ..............................................


 Expiration Date:      ...../.....



 Please charge my card with the total amount of $........ 


 
 Date and Signature:  .......................................

 _____________________________________________________________

 Please complete this form and send it by regular mail to:

   "String Theory at the Millennium"
    Ticket Office
    Caltech Public Events 332-92
    Pasadena, CA 91125
    USA

 or by fax to (626) 795-1378. 

 In case that you have any questions please contact Ram Basu 
 (the Audience Service Manager) at the Ticket Office directly. 
 His phone number is (626) 395-3667 and his e-mail is 
 rbasu@ope.caltech.edu.  

 Note: The charges will appear on your credit card statements 
 as "Caltech Ticket Office". 
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