armstron@bmers11.uucp (Steve Armstrong) (01/23/90)
<<<< RECOMMENDATION: Don't read this document, >>>>
<<<< print it out using non-proportional font. >>>>
CHI'90 REGISTRATION FORM
------------------------
Registration may be completed in advance by mailing the
registration form and fee so that the are postmarked by March 16,
1990. Reduced rates will be applied for registration form and fee
postmarked on or before February 23, 1990.
Registration forms will be processed only if accompanied by full
payment. Registration forms and payments submitted separately will
be returned. Registration forms sent by FAX must be paid for by
credit card.
Email Advance Program and Housing Forms may be obtained by sending a
request to:
meads.chi@xerox.com
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
* NO PHONE OR EMAIL REGISTRATIONS WILL BE ACCEPTED! *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Registration is also available at the door.
PAYMENTS:
--------
Payments may be made by travelers checks, personal or company
checks, money orders, or credit cards. Payments from foreign
banks must be made in U.S. dollars by either International Money
Order or by drafts drawn against an account at a U.S. bank.
Please make checks payable to: CHI'90
Purchase orders and government vouchers will not be accepted.
REFUNDS/TRANSFERS:
-----------------
Refund requests must be made in writing and postmarked before
March 16, 1990. Regrettably, processing cost requires a 10%
cancellation fee. Registrations can be transferred by giving your
substitute the conference registration confirmation receipt.
RETURN REGISTRATION FORM AND FEE TO:
-----------------------------------
R. K. Yamauchi
CHI'90 Registration
P.O. Box 808, L-307
Livermore, CA 94550
Street Address: Bldg 218, Room 110, L-307
7000 East Avenue
Telephone: (415) 422-4178
FAX: (415) 423-4021
===========< CUT HERE - Start of Registration Form >==============
CHI'90 REGISTRATION FORM
------------------------
Mailing Address (check one): __ Business __ School __ Home
________________________________________________________________
First Name Middle Initial Last Name
________________________________________________________________
Name as you want it to appear on your badge (if different)
________________________________________________________________
Department
________________________________________________________________
Company or School Affiliation
________________________________________________________________
Street Address
________________________________________________________________
City State/Province Postal Code Country
________________________________________________________________
Telephone Number (Please include country, area and city codes)
________________________________________________________________
FAX (optional)
NOTE: The conference attendee list may be made available to
outside organizations. Check here if you DO NOT want your
name to appear on this list. _______
=================================================================
Society membership:
Members of any of the following cooperating societies qualify for
membership rates. Please check all of which you are a member:
__ ACM __ IEEE-CS/CDE __ Euro. Assoc. Cog. Erg.
__ SIGCHI __ IEEE-CS/OS __ Div. 21 of APA
__ SIGGRAPH __ IEEE-CS/SE __ Cog. Sci. Soc.
__ SIGOIS __ HFS __ BCS-HCI
__ SIGCAPH __ NGI __ Soft. Psy. Soc.
Registration category: Check one
__ Member of cooperating society
Society & ID#: ____________________________________________
__ Non-member
__ Full time student
School & ID#: _____________________________________________
(A current student ID must be presented at registration)
=================================================================
Tutorial Selections: Check first choice selections
Tutorial Units Tutorial Units
no. no.
__ 1 Sunday all day 2 __ 19 Monday all day 2
__ 2 Sunday all day 2 __ 20 Monday all day 2
__ 3 Sunday all day 2 __ 21 Monday all day 2
__ 4 Sunday all day 2 __ 22 Monday all day 2
__ 5 Sunday all day 2 __ 23 Monday all day 2
__ 6 Sunday all day 2 __ 24 Monday all day 2
__ 7 Sunday all day 2 __ 25 Monday all day 2
__ 8 Sunday all day 2
__ 26 Monday morning 1
__ 9 Sunday morning 1 __ 27 Monday morning 1
__ 10 Sunday morning 1 __ 28 Monday morning 1
__ 11 Sunday morning 1 __ 29 Monday morning 1
__ 12 Sunday morning 1 __ 30 Monday morning 1
__ 13 Sunday morning 1 __ 31 Monday morning 1
__ 14 Sunday afternoon 1 __ 32 Monday afternoon 1
__ 15 Sunday afternoon 1 __ 33 Monday afternoon 1
__ 16 Sunday afternoon 1 __ 34 Monday afternoon 1
__ 17 Sunday afternoon 1 __ 35 Monday afternoon 1
__ 18 Sunday afternoon 1 __ 36 Monday afternoon 1
__ 37 Monday afternoon 1
---------------------------- -----------------------------
Total Sunday units _____ Total Monday units _____
(Maximum of 2 units) (Maximum of 2 units)
Total tutorial units ____
Sunday plus Monday (Maximum of 4 units)
If, by some chance, a tutorial selection is not available, an
alternate will be assigned only if you provide a prioritized list
of alternates below:
_________________________________________________________________
=================================================================
Conference and |Postmarked on or| Postmarked |
tutorial fees: |before Feb. 23 | after Feb. 23 |
----------------------------|-------+--------|--------+-------|
|Student | Member| Non- | Member | Non- |
| | | member | | member|
-------------------|--------|-------|--------|--------|-------|
Conf Reg Only | $75 | $245 | $295 | $340 | $390 |
-------------------|--------|-------|--------|--------|-------|
Conf +1 Tut'l Unit | 140 | 370 | 450 | 520 | 600 |
Conf +2 Tut'l Units| 205 | 495 | 605 | 700 | 810 |
Conf +3 Tut'l Units| 270 | 620 | 760 | 880 | 1020 |
Conf +4 Tut'l Units| 335 | 745 | 915 | 1060 | 1230 |
-------------------|--------|-------|--------|--------|-------|
1 Tut'l Unit Only | 65 | 165 | 195 | 220 | 250 |
2 Tut'l Unit Only | 130 | 330 | 390 | 440 | 500 |
3 Tut'l Unit Only | 195 | 495 | 585 | 660 | 750 |
4 Tut'l Unit Only | 260 | 660 | 780 | 880 | 1000 |
---------------------------------------------------------------
Conference and tutorial fees: $________
Local Showcase/Industry Tour: $________
(@$75 per person X ____ person(s))
Set of all the CHI '90 tutorial notes: $________
( @ $495 per set -- must be accompanied by )
( conference registration. The set of tutorial)
( notes must be picked up at the conference. )
( For your convenience, a shipping service will)
( be available. )
Total fees $_______
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
* Regretfully, we cannot process any form without accompanying *
* payment. PURCHASE ORDERS and GOVERNMENT VOUCHERS cannot be *
* accepted. *
* *
* Registration forms sent by e-mail CANNOT be accepted! *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Please make check payable to: CHI '90
Payment by credit cards will be accepted:
__ VISA __ MasterCard __ American Express
_________________________________________________________________
Credit Card Number Expiration Date
_________________________________________________________________
Signature Date
_________________________________________________________________
Please print the name on the credit card, if it is different from
the attendee's name.
_________________________________________________________________
If the credit card is a company card, please print the billing
address
-----< End of Registration Form >---------------