Registration for Optimization Modeling Workshop to be held at CCWI2005
Participant Name:
Address:
Email:
Payment by:
o
o
Cheque (payable to Bentley Systems Incorporated, post the
cheque to the address below)
Credit card
Type of credit card:
o Visa
o MasterCard
Card Number:
Expiry Date:
Card Holder Name:
Billing Address:
Signature authorizing charge of the registration fee to the credit card:
Forward your completed form to: Zheng Yi Wu, Haestad Methods Solution
Center, Bentley Systems, 27 Siemon Co. Dr., Suite200W, Watertown,
CT06795, USA, Fax:+1-203-597-1488 or email: zheng.wu@bentley.com