Proceedings Order Form
				  		MVA Organizing Committee

Send this form to:
  Prof. Katsushi Ikeuchi
  Institute of Industrial Science
  University of Tokyo
  4-6-1, Komaba, Meguro-ku
  Tokyo, 153-8505 JAPAN
  Phone: +81-3-5452-6242
  Fax:   +81-3-5452-6244
  Email: ki@iis.u-tokyo.ac.jp

Order of MVA Proceedings Extra Copy/Back Number
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The prices include shipping at book rate. Please check appropriate box(es)
and enter amount in column at right:

[ ] MVA2005 @20,000yen ..............................Amt. Paid ________yen
[ ] MVA2002 @15,000yen ..............................Amt. Paid ________yen
[ ] MVA2000 @10,000yen ..............................Amt. Paid ________yen
[ ] MVA'98   @7,000yen ..............................Amt. Paid ________yen
[ ] MVA'96   @5,000yen ..............................Amt. Paid ________yen
[ ] MVA'94   @5,000yen ..............................Amt. Paid ________yen
[ ] MVA'92   @5,000yen ..............................Amt. Paid ________yen
[ ] MVA'90   @5,000yen ..............................Amt. Paid ________yen
[ ] IAPR Workshop on Computer Vision'88 @5,000yen ...Amt. Paid ________yen
                                                  Total Amount ________yen

Please print or type:

First Name/Initial/Last Name ...._________________________________________
Position ........................_________________________________________
Business Affiliation ............_________________________________________
Dept./Bldg. ....................._________________________________________
Street Address .................._________________________________________
City/State/Zip .................._________________________________________
Country ........................._________________________________________
Telephone ......................._________________________________________
Facsimile ......................._________________________________________
Email ..........................._________________________________________

Method of Payment
-----------------
Please check the method of payment:

[ ] Payment by Bank Transfer
    It must be remitted in Japanese yen by bank transfer to  the following
    account. In the remittance, please be sure to include your name.
           Account Name:   MVA 2002 (Katsushi IKEUCHI)
           Account Number: 1673751
           Name of Bank:   Mizuho Bank, Ltd., Roppongi Branch

[ ] Payment by Credit Card
    Only  VISA, Master Card and American Express can be used.   Payment by
    credit card will  be  accepted only  when  your  order form  with your
    correct charge card number and signature is received.

       [ ] VISA      [ ] Master Card      [ ] American Express

    Card No. _______________________________  Exp. Date _________________

    Signature _________________________________________________