GROUP'99 Registration Form
Please
print form and return to:
1.
Personal Details
First Name: .............................................................................................................................
Surname: ................................................................................................................................
Organization: ..........................................................................................................................
Address: ................................................................................................................................
................................................................................................................................
................................................................................................................................
Country: ................................................................................................................................
Tel.: .....................................................................................................................................
Fax.: .....................................................................................................................................
Email: ...................................................................................................................................
ACM Membership Number:
........................
To qualify for reduced
registration fees, please provide your membership
number!
Name as you want it to appear on your badge:
..............................................................................................................................................
To qualify for early
registration fees, payment must be received by 1 October 1999.
Proof of full-time student status
must be sent with this form to qualify for student fees.
2. Conference Registration Details
Conference registration includes the conference proceedings,
reception, refreshments and 2 lunches.
| Conference Fee | Before 1 October 1999 | After 1 October 1999 |
| Non ACM/SIG Members | $ 420 | $ 485 |
| ACM/SIG Members | $ 340 | $ 395 |
| Students | $ 190 | $ 240 |
Conference registration fee: $ ..............
3. Tutorial Registration Details
Full day tutorial registration fees include the tutorial
notes, lunch, and refreshments.
| Full Day Tutorial | Before 1 October 1999 | After 1 October 1999 |
| Non ACM/SIG Members | $ 310 | $ 355 |
| ACM/SIG Members | $ 260 | $ 305 |
| Students | $ 190 | $ 220 |
Tutorial registration fee: $ .............
4. Workshop Registration Details
Workshop registration fees include lunch, and refreshments.
| Workshop | Before 1 October 1999 | After 1 October 1999 |
| Non ACM/SIG Members | $ 75 | $ 95 |
| ACM/SIG Members | $ 60 | $ 80 |
Workshop registration fee: $ ............
Workshop Title: ____________________________________________________________
5. Conference Dinner
A conference dinner will be organized for the night of Tuesday, Nov 16th for a fee of $45. If you would like to partcipate in the conference dinner please tick here ______ and add $45 to your total payment.
6. "Extra" Conference Proceedings
If you can't attend the conference or would like another copy of the proceedings, the cost for non ACM members is $ 70 and for ACM members it is $ 35. Please indicate the number and type of proceedings you would like here ________________ and add the appropriate amounts below.
Payment
Please add the total amount from each section above to give the total payment due.
Total Payment: $ ...............
Please indicate your method of payment:
____ Cheque enclosed payable to ACM GROUP'99.
____ Credit card details are given below
Card Type: __ Visa __ Mastercard __ AMEX
Card Number: ...................................................................................
Expires: ............................................................................................
Cardholders Name: ............................................................................
Billing Address..................................................................................
.........................................................................................................
.........................................................................................................
.........................................................................................................
Cardholders
Signature:
.......................................................................
Payment Details
All payments should be made in US Dollars. Payment can be made in the following ways.
Cancellation Policy
Cancellations notified to the conference office by November 1, 1999 will be subject to a cancellation fee of $ 100. No refunds can be made after this date or for non-appearance at the conference. Delegate substitutions are allowed; please contact the registration office to arrange this.