Walk-in registrations are also acceptable. However, if you pre-register, we will be able to anticipate the number of conference attendants in advance. This will help us run the conference smoothly and plan the conference more effectively. So, if you could help us by pre-registering, we would greatly appreciate it. It is also significantly cheaper to preregister. Thank you.
Name: ___________________________ Affiliation: _______________________________ Address: _______________________________________________________________________ _______________________________________________________________________ Telephone: ______________________ E-mail: ____________________________________ Special Requirements: __________________________________________________________ Do not include my name in the list of UIST'95 attendees: |__| Circle one: Before Oct 17, 1995 After Oct 17, 1995 ACM Member: $355 $500 Non-Member: $440 $600 Full-time Student: $165 $185 ACM Member Number: _________________________ Student registration must be accompanied by a clear photocopy of student id. Extra Banquet Tickets ($35 each)................... # Tickets: ______ Extra Opening Reception Tickets ($15 each)......... # Tickets: ______ Extra copies of the UIST'95 video ($50 each)....... # Copies: ______ (This will contain the videos presented as part of talks at the conference. One copy is included with each registration.) UIST'95 T-shirt ($10 each) ......................... # Shirts: ______ (full color UIST'95 logo on front, authors' names on the back) Specify size: S M L XL XXL ___________ UIST '95 Video and Tee Shirts must be picked up at the hotel during the conference. No refunds will be offered for merchandise that is not claimed at the conference. Total Fees (US$ only): ___________ Payment form: __ __ __ __ |__| Check Enclosed |__| Visa |__| MasterCard |__| American Express Make check out to: UIST'95. Checks must be drawn on a US bank. Credit Card #: __________________________ Expiration Date: __________________ Signature: _____________________________________________________________________
If you have further questions regarding the conference registration, please contact Alison Lee at email@example.com