Sencond International Workshop on Advanced Issues of

E-Commerce and Web-based Information Systems

San Jose, California, June 8-9, 2000

Workshop Homgpage: http://www.cs.virginia.edu/wecwis2000/

Please fill in all the fields and send the form and your payment to the workshop chair, Sang Son.

First Name:__________________________ Last Name:______________________________

Affiliation:___________________________

Address:_____________________________________________________________________

City:_____________________________ State/Province:_____________________________

Country:_____________________________ Zip Code:_______________________________

E-mail:______________________________ Phone: _________________________________

Fax:________________________________ IEEE member number:______________________

Workshop registration fees:

  By May 1, 2000 After May 1, 2000
IEEE member $300______________ $350______________
Non-IEEE member $375______________ $440______________
Full-time student $200______________ $250______________

Extra Banquet Tickets _____ @ $50.00 ea = $ ___________ Vegetarian?_____

Add up your above charges, and enter the total due below, payable in US dollars. The total fee below is the amount you will be charged on your credit card, if one is used. Enter the card type, number, expiration date, and your name as it appears on the card. Payment can me made with Visa, MasterCard, Amex, Check (payable to WECWIS 2000) or Money Order.

Total Due: US $ ________________

Payment Method: Check_____ Visa______ MasterCard______ American Express_______

Card Number: ___________________________ Exp Date (MM/YY): ________________

Name on card: _____________________________________________________________

Signature: _________________________________________________________________

FAX or mail your form with check to the following:

Professor Sang Son
Department of Computer Science
School of Engineering and Applied Science
University of Virginia
Charlottesville, VA 22903-2442

Phone: (804) 982-2205
Fax: (804) 982-2214
Email: son@cs.virginia.edu