Registration Form 
2005 Workshop on Patterns in High Performance Computing
Date: May 4-6, 2005
Location: University of Illinois, Urbana, IL

Please fill out this form and email it to chuang10@uiuc.edu.

Name: 
Affiliation: 
Email: 
Phone: 


What is your preference for meals?
[ ] Vegetarian 
[ ] Non-Vegetarian
[ ] Other dietary restriction _____________________________

Will you need parking space?
[ ] Yes
[ ] No

There will be a registration fee of $75 for this workshop. 
Please send a check payable to "University of Illinois" to: 

Sheila Clark
University of Illinois
Department of Computer Science
201 N. Goodwin Ave
Urbana, IL 61801

Please note "patHPC Workshop" on the memo line.  Thanks!