2001 Conference on APPLICATIONS OF COMPUTER ALGEBRA (ACA'01)
                   May 31--June 3, 2001
Technical Vocational Institute, Albuquerque, New Mexico, USA


                              REGISTRATION FORM


PAYMENT MUST ACCOMPANY FORM AND MUST BE POSTMARKED BY April 15, 2001
FOR EARLY REGISTRATION FEE TO APPLY

CANCELLATIONS must be received in writing by APRIL 15 for REFUND
(less $20 handling fee)


_________________________________________________________________________
Name

_________________________________________________________________________
Institution Full Unabbreviated Name

_________________________________________________________________________
Mailing Address

_________________________________________________________________________
City, State/Province, Zip/Postal Code

_________________________________________________________________________
Country

_________________________________________________________________________
Telephone                     FAX                           Email


CONFERENCE REGISTRATION:
       (Check one)                early      standard     on-site
                                  -----      --------     -------
       ____ IMACS member           $200       $220         $240   
       ____ IMACS non-member       $210       $230         $250
       ____ student                $100       $110         $120
       ____ to be paid by ACA (I have obtained approval of support)

       (Check one)
       ____ early registration    - postmarked on or before April 15, 2001
       ____ standard registration - postmarked on or before   May 15, 2001
       ____ on-site registration  - to be paid in Albuquerque
       Student registration fee does not include conference party.

       Note that ACA attendees will automatically be registered for the NMMATYC
       conference at no additional cost.

Method of Payment __________
       Registration fee                                   $___
       Additional persons who will be:
          attending party             ($22 / person)      $___
          attending banquet           ($22 / person)      $___
          going on VLA excursion      ($25 / person)      $___
          going on Santa Fe excursion ($25 / person)      $___
       TOTAL                                              $___

       Note that the registration fee includes the party, banquet, VLA and
       Santa Fe excursions for the registering attendee.

Acceptable methods of payment:
       Credit card (Mastercard *or* VISA only)
       Institutional or personal check 
Make checks payable to ACA.  All payments must be in US dollars (strongly
preferred) or include US$25 extra to cover currency exchange.

Return completed registration form with payment to:

       ACA'01 Conference                FAX: +1 (505) 277-5505
       Cotopaxi                         (credit cards only)
       1801 Quincy, SE            OR
       Albuquerque, New Mexico          Email: aca@math.unm.edu
       USA   87108-4427                 (credit cards only)

(Please SEND A NOTE by email to aca@math.unm.edu no matter how you send the
payment as a confirmation!!!  All registrations will be acknowledged by email.)

For Credit Card Payment:
 
Card Type ____________________ # ________________________ Exp. Date ________
 
Card Holder Name (print) _____________________ Signature ___________________
 
(Email registration is preferred and does not require a signature)