SIGMETRICS 2001 / Performance 2001
Cambridge, Massachusetts,    June 16-20, 2001
(Tutorials, Workshops: June 16 and 17      Technical Sessions: June 18-20)
 
 

  Registration Form
(This form should be printed, and then submitted by mail or FAX as noted below)
Please print or type and fill out completely.
 

 

PARTICIPANT INFORMATION

Title _______       First Name / Middle Initial    _________________________________________________________

Last Name   ___________________________________________________________________________________

Institution     ___________________________________________________________________________________

Mailing Address ________________________________________________________________________________

_____________________________________________________________________________________________

City _________________________________________________________    State _________  Zip _____________

Country ______________________________________________________

Telephone ______________________________  Fax __________________________________________________

E-mail Address  ________________________________________________________________________________

ACM Membership Number ________________________________________________________________________

Registering for:    Conference __________       Workshop  __________

Do you have any special needs (e.g. vegetarian diet)?

____________________________________________________________________________________________

____________________________________________________________________________________________

HOUSING FOR STUDENTS ATTENDING THE CONFERENCE
We anticipate the availability of accommodations at lower cost on the MIT campus for students attending the conference (see eligibility and details).   If you are interested in this option please:


CONFERENCE REGISTRATION

(Conference registration price includes:  technical session attendance from Monday, 6/18/2001 to Wednesday, 6/20/2001; proceedings; continental breakfast on Monday; luncheons on Monday and Tuesday; refreshment breaks; reception at the hotel on Sunday evening; and banquet dinner at the New England Aquarium on Monday, 6/18/2001.)

Early Conference Registration BEFORE May 18, 2001
(Must be postmarked or if paying by credit card received via fax on or before May 18, 2001)

Registration Category
(check one)		 Amount
Amount
______ ACM/SIG member (*) $395    _____  IFIP Working Gr. 7.3 $395
______ Non ACM/SIG member $550               _____ Full-Time Student (@) $195
(*) Provide ACM Membership number     (@) Provide Institution Name

Late Conference Registration AFTER May 18, 2001
(Anything postmarked or if paying by credit card received via fax after May 18, 2001)

Registration Category
(check one)		 Amount        
Amount
______ ACM/SIG member (*) $475                _____  IFIP Working Gr. 7.3 $475
______ Non ACM/SIG member $595    _____ Full-Time Student (@) $225
(*) Provide ACM Membership number   (@) Provide Institution Name

TUTORIAL/WORKSHOP REGISTRATION

(Tutorial/workshop registration price includes:  tutorial/workshop attendance on Saturday afternoon, 6/16/2001, and Sunday, 6/17/2001; printed tutorial/workshop materials; continental breakfast on Sunday; refreshment breaks; and reception on Sunday evening.)

Early Tutorial/Workshop Registration BEFORE May 18, 2001
(Must be postmarked or if paying by credit card received via fax on or before May 18, 2001)

Registration Category
(check one)		 Amount
Amount
______ ACM/SIG member (*) $215                _____  IFIP Working Gr. 7.3 $215
______ Non ACM/SIG member $295          _____ Full-Time Student (@) $120
(*) Provide ACM Membership number   (@) Provide Institution Name

Late Tutorial/Workshop Registration AFTER May 21, 2000
(Anything postmarked or if paying by credit card received via fax after May 18, 2001)

Registration Category
(check one)		 Amount        
Amount
______ ACM/SIG member (*) $295                 _____  IFIP Working Gr. 7.3 $295
______ Non ACM/SIG member $375    _____ Full-Time Student (@) $150
(*) Provide ACM Membership number   (@) Provide Institution Name

CONFERENCE AND/OR TUTORIAL/WORKSHOP

PAYMENT INFORMATION

(Please check the appropriate method of payment below)
**NOTE - We can only accept check (preferred) or credit card payment**

_____CHECK Please make checks payable to ACM SIGMETRICS 2001.

_____CREDIT CARD

We can only accept VISA, MasterCard or American Express and will need the following information:

Credit card type (indicate the appropriate type): _____VISA _____MasterCard _____American Express

Card Number ___________________________________________ Expiration Date ____________________

Cardholder’s Name as it appears on the card  ____________________________________________________
 

Cardholder’s Signature _____________________________________________________________________

Total Amount To Be Charged______________________________   Date _____________________________
 
 

If paying by check, total amount enclosed $____________

Please mail registration form and payment to:

Vittorio Castelli, Financial Chair
IBM T.J. Watson Research Center
P.O. Box 218
Yorktown Heights, NY 10598, USA
FAX: (914) 945-4349
Phone: (914) 945-2396

LAST DAY TO REGISTER BY MAIL IS JUNE 9, 2001
AFTER THIS DATE YOU MAY REGISTER ON-SITE ONLY.

If paying by credit card, you may fax form to the attention of Vittorio Castelli @ (914)945-4349.

Please do not register by phone, and do not send credit card information via e-mail.
Registration received without payment will NOT be processed.
 

REGISTRATION CANCELLATION/REFUND

If you would like to cancel your registration and would like a refund (minus a $50 administration fee) please contact in writing Vittorio Castelli,  by email - vittorio@us.ibm.com, or by regular mail to the registration address above.

Note cancellation requests MUST be received by June 9, 2001. Refunds will NOT be given after June 9, 2001.

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