UIST'96 Registration Form(Original of signature is required, so no e-mail registrations accepted, but FAXing a completed form with a credit card number is fine.) Name: ________________________________________________________________ Affiliation:__________________________________________________________ Address: _____________________________________________________________ ______________________________________________________________________ Telephone: ___________________________________________________________ E-mail: ______________________________________________________________ Special Requirements: ________________________________________________ Do not include my name in the list of UIST'96 attendees: |__| SEND REGISTRATION FORM AND FEE (by physical mail or FAX) TO: Ken Fishkin Xerox PARC 3333 Coyote Hill Road Palo Alto, CA 94304 fax: (415) 812-4890 phone: (415) 812-4478 e-mail: firstname.lastname@example.org Circle one: Before Oct 6, 1996 After Oct 6, 1996 ACM Member: $385 $500 Non-Member: $460 $600 Full-time Student $170 $190 ACM Member Number: _________________________ (NOTE: 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: ______ Copies of the UIST'96 video ($12 each)............. # Copies: ______ (This will contain the videos presented as part of talks at the conference. Copies are *not* included with registration. You must order a tape now to receive one.) UIST '96 Videos must be picked up at the hotel during the conference. No refunds will be offered for merchandise that is not claimed at the conference. Total Fees (US$ only): ___________ Payment form: |__| Check Enclosed |__| Visa |__| MasterCard |__| American Express Make check out to: UIST'96. Checks must be drawn on a US bank. Credit Card #: _____________________________________________ Expiration Date: ___________________________________________ Signature: _________________________________________________
UIST'96 Hotel Registration Form:The Westin Hotel, Seattle 1900 Fifth Avenue Seattle, WA 98101 USA Reservations: +1 800-228-3000 or +1 206-728-1000 FAX: +1 206-728-2007 Group Information: ACM UIST'96, User Interface Software and Technology, November 6-8, 1996 Rate: $116 single or double, plus tax Reservations must be received by October 6, 1996 I will arrive on: (month/day/year) ___________________________ Number of nights: ____________________________________________ (Check in time is 3:00pm. Check out time is 12:00 noon) Name: ________________________________________________________ Mailing Address: _____________________________________________ City: ________________________ State: ______ Zip: ____________ Country: __________________ Telephone: ___________________________________________________ Name(s) of additional persons sharing room:___________________ Special Requirements: ________________________________________ Unless guaranteed, reservations will be held until 6:00pm. Reservations may be guaranteed for later arrival to any major credit card (American Express, Visa, Discover, JCB, Westin, MasterCard, Diners, or Carte Blanche), or you may forward one night's deposit by check to the hotel. Credit Card Type: ____________________________________________ Credit Card #: _______________________________________________ Expiration Date: _____________________________________________ Signature: ___________________________________________________
Getting ThereTo reach the hotel from the airport, take either a taxi or bus. Bus transportation to the hotel from the airport is offered by GreyLine, which departs from the airport and hotels every 20 minutes during the day. At the airport, Greyline coaches can be boarded at the North and South ends of the lower baggage claim area. Rate: $7.50 one way, $13.00 round trip. Phone +1 206-626-6088 for details.
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