REGISTRATION FORM

Workshop on Incidence Geometry and Information Security Applications
University of Adelaide
Institute for Geometry and its Applications
20--23 JANUARY 2003

Name:

Address:

email:

I DO/DO NOT wish to give one or more talks of .... minutes. (Please include
a title if you have one.)

I DO/DO NOT wish to apply for financial support.

Please indicate whether you would like us to arrange accommodation for you,
and give an indication of the type of accommodation you would prefer.