Please fill out the form below and forward with payment to:

                    LEGO Robot Workshop
                    Dept. of Electrical and Computer Engineering
                    University of Queensland
                    ST LUCIA QLD 4072

Cheques are to be made payable to "Dept. of Elec. and Comp. Eng., Uni. of Qld"

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                    LEGO ROBOT WORKSHOP ENROLMENT FORM

Name:_________________________________________________________________________

Address:______________________________________________________________________

        ______________________________________________________________________

Phone:_______________ (Home)  _________________ (Work)



Do you wish to nominate your group partner(s)?  YES   NO   (Circle one answer)

Nominated partner(s):_________________________________________________________

                     _________________________________________________________



Do you have any programming experience in any of the following languages?

C    PASCAL    MODULA-2    FORTRAN    ADA    ASSEMBLER    (Circle any or none)

Other(s) (specify) ___________________________________________________________

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