Extra Page(s) Payment Form Parallel Architectures and Compilation Techniques (PACT)

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To: Martin Schulz, TU-München, SAB / Fax: +49-89-289-28232

Extra Page(s) Payment Form

for the the 11 th International Conference on

Parallel Architectures and Compilation Techniques (PACT)

The final version of the paper (paper ID ____________ ), accepted to PACT 2002,

Title:

_______________________________________

_______________________________________

requires __________ additional pages (each page US$ 200) beyond the standard 10 pages.

The payment for these pages of US$ _____________ will be done by

____ check, payable to “ACM PACT 2002” (drawn on a US bank) or

____ by credit card (VISA or Mastercard).

In case of credit card payment, please fill out the following section:

I hereby authorize ACM PACT 2002 to charge my credit card with the amount stated above

Name of cardholder: ________________________________________________

Billing address: ________________________________________________

_____________________________

_____________________________

Type of card:

Card number:

____ Visa ____ MasterCard (EuroCard)

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiration date: _______ / _______

Please fax or send this form (and in case of payment by check, also send the check itself) to the publications chair at the following address:

Martin Schulz

Institut für Informatik, SAB

D-80290 München

Technische Universität München

Tel: +49-89-289-28399

Fax: +49-89-289-28232

Email: schulzm@in.tum.de

Germany

The payment has to be received by the same deadline as the final manuscripts! Please allow for sufficient time for the mail delivery (from the US, allow at least 7 days).

Date _________________ Signature ________________________

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