ISAMA 2000 Registration Form
                                
                                

        Name    ______________________________________________________

        Address ______________________________________________________

                ______________________________________________________
 
                ______________________________________________________
 
                ______________________________________________________

        Phone   ______________________________________________________

        Fax     ______________________________________________________

        Email   ______________________________________________________


       Payment $(US) ___________

       Please make check or bank draft payable to ISAMA

                                ------------

       Areas of Interest
   
       _______________________________________________________________

       _______________________________________________________________

       _______________________________________________________________

       _______________________________________________________________




       Mail to:

       Nat Friedman
       Department of Mathematics - ES 110
       University at Albany-SUNY
       1400 Washington Avenue
       Albany, New York 12222
       USA