Thank you for your interest in the 2001 Fellow Awards Banquet.

Your information has been sent to the appropriate person. You do not have a reservation for the event until we have received your payment.


Payment Method

Payment information for reservations may be submitted by fax, phone, or mail.  Print out the information requested and please submit as instructed. 

Credit Card Type: _____________________________
Credit Card number: ___________________________
exp. date (MM/YY): _________

amount authorized: _________
name as it appears on card: _____________________
signature: ___________________________________

 


By Fax:


Print these.shtmls and fax them to: +1 650 604 2594 (credit card authorization required)

By Phone:

Call +1 650 604 2714 (credit card authorization required)

By Mail:

Please print these.shtmls and mail them to:

Fellow Awards 2001 Registration
Computer History Museum
P.O. Box 367, Moffett Field, CA 94035, USA




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