Registration payment form



Credit Card payment
-------------------

Name:        ______________________________________

Institution: ______________________________________



   __ VISA   __ Eurocard/MasterCard   __ Diners Club   __ American Express

  Amount in CHF (Swiss francs): _________ / HiPer'98

  Name given on card:           ______________________________________

  Card number:                  _______________________________________

  Card expiration date:         ___ / ___

  Date / Signature:             ____________ / ________________________



Send to:   HiPer'98
           J. Winkelmann
           Informatikdienste/Systemdienste
           ETH Zentrum, RZ
           CH-8092 Zurich, Switzerland

Or fax to: HiPer'98
           +41-1-632-1022


Last modified May 28, 1998 (hiper98@ethz.ch)
!!! Dieses Dokument stammt aus dem ETH Web-Archiv und wird nicht mehr gepflegt !!!
!!! This document is stored in the ETH Web archive and is no longer maintained !!!