16th IEEE Annual Computer Communications Workshop
October 14-17, 2001
Charlottesville, Virginia, http://www.cs.virginia.edu/ccw01/

IEEE CCW2001 Registration Form

The workshop will be held from October 14-17 at the Omni Hotel in downtown Charlottesville, Virginia.

Registration Deadline: September 10, 2001

Registration confirmation will follow by email.
If you have any questions, please send email to peggy@cs.virginia.edu

Contact Information

First Name and M.I.:
Last Name:
Mailing Address 1:
Mailing Address 2:
City:   State:     Zip code:  
Phone:   Fax:  

Food Preference

Vegetarian?       No Yes

Payment Information

The registration fee is $340 (before Sept. 19) and $390 (after Sept. 10).

Credit Card Type Visa MasterCard Discover American Express Diner's Club
Credit Card Number:
Expiration Date: Month        Year 

This page was last modified on: 08/03/2001