Proceedings Order Form IAPR MVA'98 IAPR Workshop on Machine Vision Applications November 17-19, 1998, Chiba, Japan Send this form to: Prof. Katsushi Ikeuchi Institute of Industrial Science University of Tokyo 7-22-1, Roppongi, Minato-ku Tokyo, 106 JAPAN Phone: +81-3-3401-1433 Fax: +81-3-3401-1433 Email: ki@iis.u-tokyo.ac.jp Order of MVA Proceedings Extra Copy/Back Number ----------------------------------------------- The prices include shipping at book rate. Please check appropriate box(es) and enter amount in column at right: [ ] MVA'96 @20,000yen ...............................Amt. Paid ________yen [ ] MVA'94 @15,000yen ...............................Amt. Paid ________yen [ ] MVA'92 @10,000yen ...............................Amt. Paid ________yen [ ] MVA'90 @7,000yen ...............................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'98 Account Number: 1673751 Name of Bank: Dai-Ichi-Kangyo 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 _________________________________________________