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This form is for the purposes of printing only. On-line registration is not available for this conference. However, you can fill out this form on-line, click "View Summary" below, print the subsequent summary page, then simply mail or fax the print out to the address below.

Columbia Resource Group (CRG)
600 Stewart St., Ste.# 1605
Seattle, WA 98101
(International) 206-695-1996
(US Only) 888-236-6605
Fax: (206) 441-6369
E-mail: mobicom@events.crgnet.com

All fees are shown in US dollars.

Discounted prices are available to members of ACM, ACM SIGMOBILE, ACM SIGOPS, ACM SIGCOMM, ACM SIGMETRICS, and ACM SIGMOD. These prices are also available to IEEE Communication Society members provided you give us a verifiable membership number with your registration. If you are currently not a member, you should consider joining, getting your membership number, and then registering to get the discount prices.

MobiCom'99 Registration Form


Bold indicates required fields.
Title:
Prof. Dr. Mr. Ms.

First Name:

Last Name:

Affiliation:

ACM/SIG Member Number
(required for discounted rate):

IEEE Communication Society Member Number:

Special Needs?
(e.g. vegetarian/kosher/vegan)

Address:

City: St/Prov. Zip/Postal

Country:

Telephone:

Fax:

E-mail:

May we include your name and contact address on the attendee list?
Yes No

Registration Type

Want to get discounted rates on MobiCom'99 events? Join SIGMOBILE today.

Attendee Registration
Member*
Non-member*
Student 		Early (before July 23rd)
Late (after July 23rd)


Fees
Conference Before July 23rd After July 23rd
Members* $450 $550
Non-members* $510 $610
Students $100 $150
Workshops Before July 23rd After July 23rd
Members* $150 $200
Non-members* $175 $225
Students $75 $100

Tutorials
Half-Day (T1, T2, T3, T5, T6) Before July 23rd After July 23rd
Members* $180 $250
Non-members* $230 $300
Students $60 $100

Full-Day (T4, T7, T8)
Before July 23rd
After July 23rd
Members* $300 $375
Non-members* $360 $435
Students $100 $150

* "Members" include ACM, SIGCOMM, SIGMETRICS, SIGMOBILE, SIGOPS, SIGMOD, and IEEE Communication Society members. To qualify for the member rate, you must include your membership number above.

Conference Registration

Are you registering for the conference?

Yes No


Workshop Selection

Please select the Workshop you wish to register for.

MobiDE '99 Dial M '99* WoWMoM '99 MSWiM '99 None

* Graduate students attending the DIAL-M workshop may qualify for Student Grants to defray part of the cost of attending the workshop. For further information, please contact Arunabha Sen.



Tutorial Selection

To fill out the options below, please first select "Half Day" or "Full Day," then select the particular tutorial you want to register for.


Sunday, August 15
Package Tutorial
Half Day Morning T1 T2 None
Afternoon T3
Full Day T4
None


Monday, August 16
Package Tutorial
Half Day Morning T5
Afternoon T6
Full Day T7 T8 None
None

Miscellaneous

One dinner ticket and one set of conference proceedings come with conference registration. Similarly, if attending workshops and/or tutorials, one set of proceedings or notes is included in the cost of each event's fee. You can purchase up to three additional items (for a maximum of four) in any of these categories.

Additional Dinner Tickets - $55
Additional Conference Proceedings - $50

Workshop Proceedings - $35
    MobiDE '99
    Dial M '99
    WoWMoM '99
    MSWiM '99
 Tutorial Notes - $50
    T1 T2
    T3 T4
    T5 T6
    T7 T8

Are you planning on attending the student/faculty cruise (free of charge, see description for eligibility)?
Yes No


Payment Information

Grand Total:

Cardholder Name:

Expiration Date:

    /
Credit Card Type:
    Visa
    Mastercard


Click "View Summary" to view the summary page, then print.

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