To
To register, complete and fax or mail this form with full
payment to: Registration Chair Yu Wang at the information at the end of this
form, as
soon as possible but no
later than August 31, 2001.
Capacity is limited and non-program participants are accepted according
to the order of completed registration form with full payment received by the
registration chair.
FTDCS 2001 Registration Form
|
Items
|
Amount
|
|
Workshop
participant
|
|
|
IEEE Member* or IEEE-CS Affiliate*
|
US $360.00
|
|
Non-member
|
US $450.00
|
|
Overpage Charge of camera-ready paper in the workshop
proceedings**
(______pages US150/page)
|
US $________
|
|
Accompanying
person(s)
(____persons @
US$200/person)
|
US $________
|
|
Names of accompanying person(s)
|
1.______________________________
2.______________________________
3.______________________________
|
|
Total Amount
|
US $_________
|
| |
|
|
· *
IEEE
Member or IEEE-CS Member must include membership
number in order to register at the reduced
rate US$360.00
IEEE or IEEE-CS Affiliate Membership
No._________________
· ** $150
per page beyond the 7th page
· Registration fee includes admission to
all technical sessions, a copy of the proceedings, all social functions,
excursion to Venice on November 1, coffee breaks, lunches, and admission to
welcome reception.
.
· Accompanying Person registration fee
includes admission to all social functions and excursion to Venice on November
1.
· Once
registered, requests for cancellation will be accepted if requests are
received by the registration chair no later than September 29, 2001 with the
following exception: If the registrant is an author of a paper
published in the workshop proceedings, the request for cancellation of
registration is accepted only if there will still have at least one of the co-authors
of this paper registered and present the paper at the workshop. For each registration
canceled, a service charge of US$50.00 will be deducted from the refund
of the cancelled registration fee.
Registrant
Information
Name______________________________________________________
Last/Family
First Middle
Initial
Affiliation_______________________________________________
Internal Mailing Address___________________________________
Street Address____________________________________________
City__________________, State_________, Zip________________
Country________________________________________________
Phone_______________________, Fax_______________________
Email__________________________________________________
Payment Information
Payment Type [please check one]
_________Check*
*Checks must be drawn from a US
bank and in US Dollars only.
*Checks must be payable to IEEE
Computer Society - FTDCS 2001.
Credit
card: ______Master, ________Visa
Card Number:__________________________
Expiration Date_____________
Card-owner's
Signature______________________________________________
Total Amount_______________________Date___________________________
FTDCS 2001 Registration Chair
Yu Wang
Arizona State University
Computer Science and Engineering Department
Goldwater Center, Room 206
Mailcode: 5406
Tempe, AZ 85287-5406
USA
Telephone: 1-480-965-1746
Fax: 1-480-965-2751
Email: wangyu@asu.edu