SIGAda 
Sponsored by ACM SIGAda		 2
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ACM SIGAda Annual

International Conference

 Registration Procedure:
Mail form with payment to: 
ACM SIGAda 2001
C/O Thomas A. Panfil
Registration Chair
PO Box 5210 
Laurel, MD 20726-5210
Or fax to +1-301-604-3204
Registration Form Version: AP0108

Cancellation Policy:
Confirmed registrants who cannot attend, and do not send a substitute, are entitled to a refund of paid fees (less a $50 processing charge) if a request is received in writing on or before September 4, 2001. Registrants are liable for their full fees after that date. 

ACM & SIGAda Membership 
___ACM Professional Membership $98
___SIGAda Membership $25
___ACM Student Power Memb. $40
___ACM Student Undergraduate $18
___SIGAda Student Membership $10

Total Membership Dues $_____

See www.acm.org/membership/ for Member Qualifications and pledge.
Twin Cities, Minnesota -- 30 September to 4 October 2001 

SIGAda 2001 Advance Registration Form

Click Here to use the
On-Line Registration System
(On-line Credit Card Payment Capability added this year)

- OR -
        
Click here to download the Registration Form
in Adobe format (*.pdf)
for Registration by Fax or by Mail
Name Name (First, Middle Initial, Last): __________________________________________________________
(Dr/Mr/Mrs/Ms.):__________ Job Title: _________________________________________________________
Badge Name (as you wish it t_o appear): _______________________________________________________________________________________
Organization/Affiliation: ______________________________________________________________________
Address: _________________________________________________________________________________
City: __________________________________________________________________State/Province:__________________________
Zip/Postal Code:______________________________________Country:_______________________________
Telephone: _____________________________________________________Fax:_______________________________________
Electronic-Mail: ____________________________________________________________________________

Sponsoring or Cooperating Society & Member Number: __________________________________
You must provide your membership number to quality for a discount. 
If you are not a member, join SIGAda and/or ACM now, and save money. 

Do not include my organization, telephone and e-mail address in the conference attendee listing _____
Conference Rates
 Tutorial Selections:

For a list of tutorials available, visit the tutorials section of the registration web-site. Write the code for your selected tutorials on the appropriate lines.

Sunday Full Day 

Monday Full Day 

Monday Morning 

Monday Afternoon 
SIGADA
Member
Non-Member
Student
On/Before
4 Sep
After
4 Sep
On/Before
4 Sep
After
4 Sep
On/Before
4 Sep
After
4 Sep
Conference All 3 Days
$400
$550
$550
$700
$50
$50
Conference One Day
$250
$250
$250
$250
$50
$50
Tutorial 2 Days
$500
$600
$700
$800
$50
$50
Tutorial 1 Day
$350
$450
$450
$550
$25
$25
Conference: Includes entry to all conference sessions, exhibits, Tuesday Dinner/Presentation, and copy of Proceedings
Conference - Any one Day: Includes conference sessions, exhibits, Tuesday Dinner/Presentation, and copy of Proceedings
Tutorials - Two Days: Includes Tutorial sessions totaling 2 days, exhibits, and a full tutorials CDROM
Tutorials - One Day: Includes Tutorial sessions comprising one full-day or two half-days, exhibits, and a full tutorials CDROM
Payment Computation

Conference Fee                                   $______
Tutorials Fee                                       $______
Membership Dues Fee                       $______
Additional Proceedings: 
__ Paper copies x $50                         $______
__ CD copies x $20                             $______
Tuesday Evening: 
__ additional tickets x $30                 $______

TOTAL ENCLOSED                      $______ 

 How Paid

__ Check Payable to
"ACM SIGAda 2001" 

Credit Card

__ Visa 
__ Mastercard 
__ American Express

 Credit Card Payment Information

Important: Your signature indicates your agreement to pay the conference fees with the credit card number you specified below. Please be advised that this transaction will be described on your statement as a charge from ACM. 

Card Number:         ______________________________
Good Thru:             ______________________________
Name, as on Card:   ______________________________
Cardholder's Signature: ____________________________
A block of rooms has been set aside for SIGAda 2001 attendees at the rate of US$86 single or double per night (this is below the US government per-diem rate for Bloomington, Minnesota USA). Please identify your affiliation with SIGAda 2001 to receive this rate. Rooms in this block will be available at this favorable rate until 15 September 2001, after which the Conference rate or room availability cannot be guaranteed. Register early to obtain the Conference rate. Please make reservations directly with Best Western The Thunderbird Hotel & Convention Center, 2201 East 78th Street, Bloomington, MN 55425. Phone: +1.952.854.3411, Toll-Free Phone +1.800.328.1931 (M-F, 8:00am - 5:00pm CDT), FAX: +1.952.854.1183.