HiPC '96


Receipt for Page charges


If you need a receipt for your extra page payment, please print out and complete the following form and include it with the camera-ready original of your manuscript.

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RECEIPT REQUEST for Extra Page Payment

CONFERENCE: __________________________________________________

Received from _________________________________________________

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total $ ______ (US) remitted as payment for ______ extra pages in

my/our manuscript titled: ______________________________________

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in the proceedings of the above conference/symposium.

Send receipt to: ______________________________________________

________________________________________________________________

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Reference: Check Number _______________