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