COCOA 2014 REGISTRATION FORM
The 8th Annual International Conference on Combinatorial Optimization and Applications
Last Name: / First Name: / Title:University/Organization:
Faculty/School/Department:
Street: / Email:
City: / Phone:
Postcode: / Country:
Preferred Name for Conference Name Tag:
Are you presenting a paper at COCOA’14? YES No / Paper ID:
Registration Payment
Checkbox / Item / Amount / Author Full Registration(By Sep8th, 2014) / US$ 600
/ Early FullRegistration(By Sep17th, 2014) / US$ 600
/ Late Full Registration (On or after Sep 18th, 2014) / US$ 650
/ Companion Registration / US$ 300
Each paper needs anauthorfull registration in order to be published in the proceedings.Full registration includes: the right to attend all COCOA’10 sessions; one copy of the proceedings; conferencebanquet.
Please note that we only accept CHECK from U.S. banksorWIREDMONEY to our bank account.If you pay by check from a U.S. bank, please write acheck payable to “WASA” and mail the checkwith this form to the following address:
Prof. Weili Wu, COCOA 2014 Registration
Department of Computer Science
University of Texas at Dallas, Mail Station EC31
2601 North Floyd Rd, Richardson, TX, 75083
If you prefer wiring the money to our bank account, please submit the scanned copy of the completed registration form via e-mail to Ms. WenXu () in order to get our account information. All wired registration fee must be RECEIVED before September 8th for author full registration.Please allow 3 days for the wire transaction to be completed.
Visa Application
For those* who need official letters to apply for USA entry-visa for Academic Activity**, fill in the following form
(1) Official name in the passport (Please Print): ______
(2) Nationality: ______
(3) Passport number (Please Print): ______
(4) Affiliation (e.g. Universities): ______
(5) Cities you are going to visit in USA (e.g. Dallas): ______
(6) Tentative arrival and departure (to and from USA) dates: ______
(7) Place you are going to apply visa (e.g. Beijing, Shanghai): ______
(8) Airmail address AND Fax number where you want the letter to be sent to you: ______
(9) Email address where you want to have an electric version of the invitation letter in case for emergency: ______
*If you have a companion, you should also provide the above information for him/her.
** You may apply USA entry-visa for sightseeing (as a tourist) at USA consulate/embassy in your country or region. In this case youdon't need to provide the above information.