Please complete and return this form by mail, fax or e-mail, with the appropriate fees to: | ||||||||||
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_____________________________________________________________________ Name: ____________________________________________________ Title/Position: ____________________________________________________ Affiliation: ____________________________________________________ Address: ____________________________________________________ City: ____________________________________________________ Prov/State: ____________________________________________________ Postal/Zip code: ____________________________________________________ Country: ____________________________________________________ Telephone: ____________________________________________________ Fax: ____________________________________________________ E-Mail: ____________________________________________________ REGISTRATION FEE Conference: Unicode member [ ] $ 725.00 / DM 1,075 Non-member Before February 10 [ ] $ 775.00 / DM 1,150 After February 10 [ ] $ 825.00 / DM 1,225 Hotel (optional): [ ] Hotel reservation required Arrival Date: ________________ Departure Date: ________________ Room Preferences: [ ] Smoking [ ] Non-Smoking [ ] Single @ DM 240 per night* [ ] Double @ DM 260 per night* [ ] Credit card guarantee to hold room * This rate valid until February 10 Remittance is by: [ ] Visa [ ] Mastercard [ ] American Express [ ] Discover [ ] Diners Club [ ] Cheque Credit cards will be billed in US dollars Please make cheques payable to Global Meeting Services _____________________________________________________________________ Credit card number Expiry date _____________________________________________________________________ Name of cardholder Signature CANCELLATION/SUBSTITUTION POLICY Cancellations received and post-marked prior to February 21, 1997 will receive an 80% refund to be mailed after the Conference. Substitutions will be permitted to March 10, 1997. SESSION SELECTION Please indicate below which sessions you are interested in. This will help the conference organisers allocate rooms to sessions. Tutorials: [ ] A [ ] B [ ] C [ ] D Presentations: [ ] A1 [ ] B1 [ ] C1 [ ] A2 [ ] B2 [ ] C2 [ ] A3 [ ] B3 [ ] C3 [ ] A4 [ ] B4 [ ] C4 [ ] A5 [ ] B5 [ ] C5 [ ] A6 [ ] B6 [ ] C6 [ ] A7 [ ] B7 [ ] C7 [ ] A8 [ ] B8 [ ] C8 [ ] A9 [ ] B9 [ ] C9 [ ] A10 [ ] B10 [ ] C10 [ ] A11 [ ] B11 [ ] C11 [ ] A12 [ ] B12 [ ] C12 [ ] A13 [ ] B13 [ ] C13 [ ] A14 [ ] B14 [ ] C14 [ ] A15 [ ] B15 [ ] C15 [ ] A16 [ ] B16 [ ] C16 [ ] A17 [ ] B17 [ ] C17 [ ] A18 [ ] B18 [ ] C18 [ ] A19 [ ] B19 [ ] C19 [ ] A20 [ ] B20 [ ] C20 Attendee list: [ ] Please do not include my name on the attendee list |
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