GROUP'2005 Registration Form

Only registrations on site will be accepted. Do not mail/email.

Please print form and return to:

GROUP'2005 Registration Chair
Prof Julian Newman

School of Computing and Mathematical Sciences

Glasgow Caledonian University

Glasgow G4 0BA

Scotland,

United Kingdom

 

Tel +44 141 331 3280

Fax +44 141 331 3608 (Mark “For Attention of Julian Newman”)

 

Email j.newman@gcal.ac.uk

 

1.Personal Details

Title: ............................................................................................................
First Name: .......................................................................................................
Surname: ..........................................................................................................
Organization: ......................................................................................................
Address: ...........................................................................................................
              ..................................................................................................................
              ...................................................................................................................
Country: ............................................................................................................

Tel.: ...............................................................................................................
Fax.: ...............................................................................................................
Email: ..............................................................................................................
ACM Membership Number: ........................
To qualify for reduced registration fees, please provide your  membership number!
Name as you want it to appear on your badge:
....................................................................................................................

To qualify for early registration fees, payment must be received by Oct 8^th 2005. Full time students qualify for the student registration fee. Students must provide proof of full-time status, such as a student identification card and class schedule, at the time of registration.   Students claiming the student registration fee will be required to provide 8 hours of volunteer assistance to the conference organizers, e.g. registration desk, AudioVisual, babysitting, etc. – for further guidance please contact the Conference Chair, mpenderg@fgcu.edu

 

2. Conference Registration Details

Conference registration includes the conference proceedings, refreshments, opening breakfast,  reception, and banquet.

 

Conference Fee	Up to October 8th	After October 8th
Non ACM Members	$ 500	$ 550
ACM Members	$ 425	$ 475
Student	$ 225	$ 275

Conference registration fee: $ ..............

3. Workshop Registration Details

Workshop registration fees includes lunch and refreshments.

 

Workshop	Up to October 8th	After October 8th
Non ACM Members	$ 100	$ 120
ACM Members	$ 80	$ 100
Student	$ 50	$ 60

Workshop registration fee: $ ............

Workshop Title: _________________________________

4."Extra" Conference Proceedings

If you can't attend the conference or would like another copy of the proceedings, the cost for non ACM members is $75 and for ACM members it is $40. Please indicate the number and type of proceedings you would like here ________________  and add the appropriate amounts below.

5. "Extra" Banquet Tickets

Extra banquet tickets can be purchased for $50 each for guests. Please indicate the number of guests here ________ and add the appropriate amounts below.

Payment

Please add the total amount from each section above to give the total payment due.

Total Payment: $ ...............

Please indicate your method of payment:

          ____    Check enclosed payable to ACM GROUP'2005.

          ____    Credit card details are given below
 

     Card Type: __ Visa __ Mastercard __ AMEX

     Card Number: ...................................................................................

     Expires: ............................................................................................

     Cardholders Name: ............................................................................

     Billing Address..................................................................................

     .........................................................................................................

     .........................................................................................................

     .........................................................................................................

     Cardholders Signature: .......................................................................
 
 

Payment Details

All payments should be made in US Dollars. Payment can be made in the following ways.

1. Check: should be made payable to "ACM GROUP'2005". Please note that foreign checks must be drawn on a US bank (i.e., have the name and address of a US bank on them), otherwise a surcharge will be levied.
2. Credit card: we can accept only Mastercard, Visa and AMEX payments. Please ensure your signature is on your registration form.

Cancellation Policy

Cancellations notified to the conference office by October 17, 2005 will be subject to a cancellation fee of $100. No refunds can be made after this date or for non-appearance at the conference. Delegate substitutions are allowed; please contact the registration office to arrange this.