Advance Registration Form For CCC'98


Last Name:

First Name:

Affiliation:

Mailing address:

" " "

" " "

" " "

E-mail address:

Homepage:

Telephone:

Special dietary needs (e.g. vegetarian, vegan):

Special accessibility needs or other remarks:

Conference Fees

Advance (by May 29)

Late (after May 29)

Members*

$ 235

$ 290

Non-members

$ 295

$ 360

Students

$ 115

$ 140

Extra proceedings copy

$  40

$  40

The registration fee includes lunches, a proceedings, and all social events.

*ACM, EATCS, IEEE, or SIGACT members.

Social events

Estimated number of family members (including you) attending the following---note that family of registrants are included FREE:

Welcoming Barbecue:  

Niagara Falls excursion:

Payment computation

Registration fee

$

Extra proceedings ()

$

Voluntary contribution

$

Total:

$

Methods of Payment

Type of Payment: Check Enclosed Money Order Enclosed.

Make check payable to "UB Foundation/CCC'98".
Yeah, right---if they figure out how to "enclose" a check or money order on the Net :-).
But note that the next category will soon be alive and kicking!

VISA

American Express

MasterCard

Discover

Carte Blanche   

Diner's Club

Warning. This is an Insecure form: do not fill the last boxes (unless you're someone who happily orders by credit card from a cellular phone :-). Bill Williams has informed me that we WILL consider these registrations to be official, on the promise that payment is being handled separately (the way you would have done it in any year before 1998:-) in a timely fashion. --KWR

Credit Card Number:

Expiration Date:

Name on Card:

Written by KWR