PACT'95 CONFERENCE REGISTRATION FORM June 26-29, Limassol Sheraton, Limassol, Cyprus (Please print or type) Last Name:___________________ First Name:____________________ Title:__________ Company/Affiliation:__________________________________________________________ Address:______________________________________________________________________ City:____________________________________ State: ___________Zip: _____________ Country: _____________________________________________________________________ E-Mail:_______________________________ Telephone:_____________________________ Badge Name:___________________________________________________________________ ACM/IEEE Member number:_______________________________________________________ Payment may be made by check, VISA, MasterCard, American Express or bank transfer. Checks must be made out to "PACT '95" and be drawn on a US bank. All credit card charges will be converted to US dollars at the rate in effect at the time the charge goes through. THE DEADLINE FOR MAIL/FAX REGISTRATION IS JUNE 15, 1995. ------------------------------------------------------------------------------ On-site registration during the conference is available with the same forms of payment, in addition to cash. The following cancellation charges will be applied: 10% (of total fee) past 6/1/95; 50% past 6/15/95; 100% past 6/25/95. Registration fees: please check appropriate fee(s) and tutorial selection(s). All amounts are in US$ ----------------------------------------------------------------------------- Advance Late or Student (by June 1) On-site (see note) ------------------------------------- Conference (ACM/IEEE member) [] $335 [] $385 [] $210 (non-member) [] $385 [] $435 [] $210 Tutorials #1 (C.Polychronopoulos; morning) [] $175 [] $200 [] $125 #2 (A.Nicolau; afternoon) [] $175 [] $200 [] $125 #3 (Y.Patt; morning) [] $175 [] $200 [] $125 #4 (J.Dennis; afternoon) [] $175 [] $200 [] $125 Full day []#1 []#2 []#3 []#4 [] $320 [] $345 [] $210 Note: Student registration includes proceedings and banquet. ----------------------------------------------------------------------------- Total Conference Registration Fee: US$_____________ Total Tutorials Fee: US$_____________ ___ Additional Banquet Tickets @ US$35 each: US$_____________ TOTAL FEE ENCLOSED: US$_____________ Payment Method: [] Visa [] MasterCard [] American Express [] Check Card Number:_________________________________ Expiration Date:_______________ Cardholder Name:____________________________________________________________ Signature:_____________________________________________________________________ ------------------------------------------------------------------------------ Please send payment, along with this registration form to: PACT'95, Mary M. Eshaghian Dept of Computer and Information Science mary@cis.njit.edu New Jersey Institute of Technology For credit card payments: Newark, NJ 07102-1982 FAX: (201) 596-5777 ------------------------------------------------------------------------------