Rice Computer Science--Conference Registration
FORTE 2002 Conference Registration Form
November 12 - 14, 2002
Tutorial: November 11, 2002
Houston, TX
Please read the
instructions
before completing this form. Fax or mail-in the Registration Form to complete your registration, as noted in the instructions.
(* denotes required fields)
STEP 1 - REGISTRATION:
Name (first):
*
(last):
*
Badge Name:
*
University/Organization:
*
Address1:
*
Address2:
City, State, Zip:
*
*
Country:
*
Telephone:
*
Fax:
Email:
*
STEP 2 - FEES:
Conference Registration Fee ($: US dollar)
Category
Before Sept. 27, 2002
After Sept. 27, 2002
Participant
$320
$380
Student Participant
$160
$190
Conference Registration or Student Fee includes admission to conference, a copy of proceedings, coffee breaks, lunches, and the conference banquet.
Tutorial Registration Fee ($: US dollar)
Before Sept. 27, 2002
After Sept. 27, 2002
None
$0
$0
Participant
$50
$65
Student Participant
$25
$30
Tutorial registration includes coffee breaks and lunch.
Options:
Extra banquet tickets
0
1
2
3
4
5
6
7
8
9
@ $50 per person
STEP 3 - PAYMENT INFORMATION:
Pay in US dollars only.
Payment by credit card
Visa
Mastercard
American Express
Cardholder's Name:
Card No:
Exp. Date
01
02
03
04
05
06
07
08
09
10
11
12
/
2002
2003
2004
2005
2006
2007
2008
2009
2010
Payment by bank draft, check, or money order
Issuer of check
Check/Ref #
STEP 4 - DIETARY INFORMATION:
I would like vegetarian meals:
Yes
No
Please indicate any special dietary or access needs:
Notice:
pressing the "print" button does NOT perform a web submission of your registration. It simply generates a form, which you must mail or fax according to the
instructions
.