AINT'2000 : Asynchronous Interfaces: Tools, Techniques and Implementations

TU-Delft, The Netherlands

19-20th July 2000

Registration form

Name:

Organization:

Address:

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Country:

Phone:

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IEEE Member? Yes ___ No ___ Membership Number:

Registration Fees:
Please tick the appropriate box, and complete the TOTAL below.
A reduced rate is available for students, which requires an accompanying letter from the student's tutor or supervisor, to be sent with this registration form.

Before 15 June After 15 June
IEEE Members£145£195
Non members£175£230
Reduced rate£70£100


TOTAL: £_____________________________________Pounds sterling

Presentation:

___ I intend to submit an extended abstract for full presentation with the following title (if registering before the (extended) submission deadline, 1 May 2000):


___ I intend to present a poster/demo with the following title:



Special dietary requirements:

Please delete as appropriate: Standard/Vegetarian

Method of payment:

1. By credit card: VISA _____ MASTER CARD ____

Fill-in, print, sign and fax/mail this form to:
+44-191-222-8232, Attn: Alex Yakovlev or Debbie Fawcett

Card Holders Details

Name on Card:

Address:

Card Number:

Expiry Date:

Amount in sterling:

Signature:



2. By check payable to `University of Newcastle upon Tyne'.

Print this form, fill in, attach the check (in sterling) and mail to:

Dr. Alex Yakovlev
c/o Debbie Fawcett
(AINT'2000)
Department of Computing Science
University of Newcastle
Claremont Tower, Claremont Road
Newcastle upon Tyne, NE1 7RU
United Kingdom.


In addition send this form by email to Alex.Yakovlev@ncl.ac.uk
or by fax to:
+44-191-222-8232, Attn: Alex Yakovlev or Debbie Fawcett