Registration form for TABLEAUX'99

To be returned by e-mail, fax or surface mail to the registration address:

Neil V. Murray, TABLEAUX'99
Institute for Programming & Logics
Department of Computer Science LI-67A
University at Albany - SUNY
Albany, NY 12222
USA
Phone: (518) 442-3393 Fax: (518) 442-5638 e-mail: tab99@cs.albany.edu

Personal information

Family name: First name:
Affiliation:
Address:
E-mail:
Tel. no: Fax no:

Schedule

My arrival time will be:
My departure time will be:

Accommodation
The Inn at Saratoga Number of persons (Click and register directly with The Inn)
Other Hotel Number of persons (I am making my own arrangements)
Click here and select Hotels/Motels/Cottages to investigate nearby accommodations. Click here for a few specific suggestions. Click here for a map with hotel locations.

Special dietary requirements: None Vegetarian Other

Please tick the appropriate boxes and fill in amounts: "
Before May 18 After May 18
Registration fees $280.00 $310.00
Registration fees (student) $130.00 $130.00
Tutorial Fees:
(Choose 1):
Tutorial 1 (Regular) $30.00
Tutorial 2 (Regular) $30.00
Tutorial 1 (Student) Free
Tutorial 2 (Student) Free
Extra Banquet Ticket(s)($38.00 each) Banquet Total = $

Payment Total     

Payments in US Dollars can be made as follows:

Please tick the appropriate box:
MasterCard (EuroCard) VISA Expiration (Mo./Yr.)   ______________
Cardnumber     _________________________________________________________
Check in dollars drawn on a US bank; made payable to University at Albany. Please put TABLEAUX'99 on the memo line.

IMPORTANT NOTE: all extra fees emerging from check or money order payment must be covered by the applicant.
If you are paying by credit card, you must fax or mail hard copy of this form with your signature.
Please also click on the SUBMIT button; credit card information is not input and is on the hard copy only.

Date:    Signature:   ______________________________________

Comments:        

        


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Last updated March 14, 1999