ACM SIGMETRICS 2000 Conference Registration (original) (raw)

ACM SIGMETRICS 2000
Santa Clara, California
June 17-21, 2000
(Tutorials, Workshops: June 17-18 Technical Sessions: June 19-21)

Registration Form
(This form should be printed, and then submitted by mail or FAX as noted below)
Please print or type and fill out completely.

PARTICIPANT INFORMATION

First Name _________________________________________ Last Name _____________________________________________

Title ______________________________________________ Institution _____________________________________________

Mailing Address _____________________________________________________________________________________________

City ______________________________ State/Country _________________________ Zip _____________________________

Telephone __________________________________________ Fax __________________________________________________

E-mail Address ______________________________________________________________________________________________

Do you have any special needs (e.g. vegetarian diet)? ________________________________________________________________

CONFERENCE REGISTRATION

(Conference registration price includes � technical session attendance 6/19-6/21, proceedings, continental breakfasts, luncheon, refreshment breaks,reception and banquet dinner � 6/20.)

Early Conference Registration BEFORE May 21, 2000
(Must be postmarked or if paying by credit card received via fax on or before May 21, 2000)

Late Conference Registration AFTER May 21, 2000
(Anything postmarked or if paying by credit card received via fax after May 21, 2000)

TUTORIAL/WORKSHOP REGISTRATION

(Tutorial/workshop registration price includes � tutorial/workshop attendance for one half day session on Saturday � June 17 and one full day session on Sunday � June 18, printed tutorial/workshop materials, continental breakfast (Sunday), lunch, refreshment breaks and reception.)

To attend the PAWS workshop, you need to register for the tutorial/workshop program.

Early Tutorial/Workshop Registration BEFORE May 21, 2000
(Must be postmarked or if paying by credit card received via fax on or before May 21, 2000)

Late Tutorial/Workshop Registration AFTER May 21, 2000
(Anything postmarked or if paying by credit card received via fax after May 21, 2000)

CONFERENCE AND/OR TUTORIAL/WORKSHOP

PAYMENT INFORMATION

(Please check the appropriate method of payment below)
**NOTE - We can only accept check (preferred) or credit card payment**

_____CHECK Please make checks payable to ACM SIGMETRICS 2000.

_____CREDIT CARD

We can only accept VISA, MasterCard or American Express and will need the following information:

Credit card type (indicate the appropriate type): _____VISA _____MasterCard _____American Express

Card Number ___________________________________________ Expiration Date ____________________________________

Cardholder�s Name _______________________________________ Cardholder�s Signature ______________________________

Total Amount To Be Charged______________________________

If paying by check, total amount enclosed $____________

Please mail registration form and payment to:

Stacey Rodell, Local Arrangements Chair
University of California, Santa Cruz
Jack Baskin School of Engineering
ACM Sigmetrics 2000 Conference
1156 High St.
Santa Cruz, CA 95064
FAX: 831-459-4046

LAST DAY TO REGISTER BY MAIL IS JUNE 9, 2000
AFTER THIS DATE YOU MAY REGISTER ON-SITE ONLY.

If paying by credit card, you may fax form to the attention of Stacey Rodell @ (831)459-4046.

Registration received without payment will NOT be processed.

REGISTRATION CANCELLATION/REFUND

If you would like to cancel your registration and would like a refund (minus a $50 administration fee) please contactin writing Stacey Rodell by email - stacey@cse.ucsc.eduor by regular mail to the registration address above.

Note cancellation requests MUST be received by June 9, 2000. Refunds will NOT be given after June 9, 2000.