ORDER FORM FOR THE PROCEEDINGS OF ICOSAHOM, 1995
 
Name:			
Mailing Address:
City: 			State:			Zip: 
Country:
 
			CHECK ALL THAT APPLY 
	(Make checks/moneys orders to The University of Houston)

_____	$49.00 in North America (includes First Class Postage)
_____ 	$55.00 outside North America (includes surface postage)
_____   Payment Enclosed
_____ 	Please Invoice Me

RETURN TO:  Susan Owens, ICOSAHOM '95 Coordinator 
	    Department of Mathematics, University of Houston, 
	    Houston, Texas 77204-3476.
	    FAX: 713-743-3505, Phone: 713-743-8688, 
	    E-mail: susan@hpc.uh.edu