If you are interested in attending the Second SC-COSMIC Student Conference on Computational Sciences, please complete the attached form and email to Dr. Vladik Kreinovich, Conference Organization Committee Chairman, at firstname.lastname@example.org. (Hint: Use your browser's File/Mail option.)
Last Name:__________________, First Name:_________________ Department:_____________________ Name of School:________________________ City:_______________, State:______________, Zip:___________ Email address:_____________________________ Send me further information about the conference: Yes ____, No____. I will need financial support to attend the conference: Yes____, No___. If your answer is yes, the estimated dollar amount will be $____.