SIGCSE '98 REGISTRATION FORM
You must print this form, fill it out, then send it to the address shown below.
Please print all requested information clearly.
Full Name: ________________________________________________________________
Name as you would like it on your badge: ________________________________________
Company or school: _________________________________________________________
Address: __________________________________________________________________
City: _________________________ State/Province: ___________________
Zip/Postal Code: _____________ Country: ___________________________________
Daytime phone number: ________________ Home phone number: ____________________
Fax ____________________ E-mail _____________________________________
ACM membership number _________________________
Special services required _____________________________________________________
____ Check here if you are attending the SIGCSE Symposium for the first time.
____ Check here if you do not want your name included on attendee lists made available
to outside organizations.
| Registration: Circle appropriate fee.
Early registration. postmarked by 1/31/98 |
Member
Early Late |
Nonmember
Early Late |
Student
Member Non |
| Conference | $130* $145* | $180* $195* | $25 $35 |
| Exhibits only | $25 $25 | $25 $25 | ---- ---- |
| Workshops: Circle #(s) and appro-priate fee. Fee is
per workshop.
Early reg. postmarked by 1/31/98 |
Member
Early Late |
Nonmember
Early Late |
Student
Member Non |
| Full Day: 13 | $80 $95 | $110 $130 | $80 $110 |
| Half Day: 1 2 3 4 5 6 7 8 9 10 11 12 14 15 16 17 18 19 20 21 | $45 $60 | $65 $95 | $45 $65 |
Only rates marked * include a copy of Proceedings and a ticket to Luncheon.
Financial Summary
Conference registration fee $ ________
Workshop registration fees $ ________
____ Additional tickets for
Fri. luncheon @ $20 each $ ________
____ Check here if you are also
attending SAC '98 (rates marked
with a * may deduct $15) $ ________
Total Payment Due
(enclosed) $ ________
Payment Method
____ Check enclosed made payable to ACM
____ Charge my credit card:
____ MasterCard
____ Visa
____ American Express
Card # __________________________
Expiration Date ___________________
Signature ________________________
Mail this form (and your payment, with checks made payable to the ACM) to: SIGCSE '98 Registration, Department of Computer Science, Campus Box 97, Rose-Hulman Institute of Technology, 5500 Wabash Avenue, Terre Haute, IN 47803-3999 USA