COMPSAC 2002 - Delegate Registration Form Last Name : __________ First Name and Middle Names : __________ Affiliation : __________ Department or House Name/Number : __________ Street/Road : __________ City/Town : __________ County/State/Province : __________ Postal Code / Zip : __________ Country : __________ Phone : __________ Fax : __________ Email : __________ Fees and Charges . A COMPSAC 2002 Registration includes: one copy of the conference Proceedings, admission to the Conference Reception on Monday 26th August 2002, the Banquet on Tuesday 27th August 2002, and all the coffee/tea breaks. . No registrations will be accepted at the De Montfort University (COMPSAC 2002) after 5:00 pm on 16th August 2002. All registrations received after 16 August 2002 will be processed on-site. Registration forms without payment will not be accepted. . Written requests for refunds must be received by 16th August 2002. All cancellations are subject to a 50 pounds processing fee. All no-shows will be billed in full. . Members of IEEE and IEEE CS are entitled to the member registration rate. Membership Number : __________ Full-time student certification (supervisor signature required) : __________ Advanced Registration (received by 26 July) __ Member 400 pounds __ Non-member 500 pounds __ Student Member 215 pounds __ Student Non-member 270 pounds _____ 20 pounds Each additional reception ticket on 26th August _____ 40 pounds Each additional banquet ticket on 27th August Late Registration (received between 27th July and 16 August) __ Member 485 pounds __ Non-member 605 pounds __ Student Member 270 pounds __ Student Non-member 335 pounds _____ 25 pounds Each additional reception ticket on 26th August _____ 45 pounds Each additional banquet ticket on 27th August Total: ____ pounds Stirling. -------------------------------------------------------------------------------- Single Room Reservation Form for staying in Keble College, University of Oxford (200 single rooms only, first-come-first-served basis) (Closing Date: 26th July 2002) Guest full name : (One form for each single room) Tick to Reserve Unit Price Description ____ 55 pounds room for 24th and breakfast for 25th August 2002 ____ 55 pounds room for 25th and breakfast for 26th August ____ 70 pounds room, luncheon for 26th and breakfast for 27th August ____ 70 pounds room, luncheon for 27th and breakfast for 28th August ____ 70 pounds room, luncheon for 28th and breakfast for 29th August ____ 70 pounds room, luncheon for 29th and breakfast for 30th August ____ 55 pounds room for 30th and breakfast for 31st August ____ 55 pounds room for 31st and breakfast for 1st September Total: ____ pounds Stirling. -------------------------------------------------------------------------------- Double Room Reservation Form for staying in Keble College, University of Oxford (33 double rooms only, first-come-first-served basis) (Closing Date: 26th July 2002) Guest full name : (One form for each double room) Tick to Reserve Unit Price Description ____ 85 pounds room for 24th and breakfast for 25th August 2002 ____ 85 pounds room for 25th and breakfast for 26th August ____ 110 pounds room, luncheon for 26th and breakfast for 27th August ____ 110 pounds room, luncheon for 27th and breakfast for 28th August ____ 110 pounds room, luncheon for 28th and breakfast for 29th August ____ 110 pounds room, luncheon for 29th and breakfast for 30th August ____ 85 pounds room for 30th and breakfast for 31st August ____ 85 pounds room for 31st and breakfast for 1st September Total: ____ pounds Stirling. -------------------------------------------------------------------------------- COMPSAC 2002 - Delegate Payment Form Total: ____ pounds Stirling for Conference registration and accommodation reservation. Paid by : ___ pounds in a cheque (must be drawn from a UK Bank in pounds Stirling) payable to: De Montfort University (COMPSAC 2002) (please allow more time for posting) ___ pounds charged to credit card: Credit Card : ____ VISA ____ MasterCard Credit Card Number : ____ Expiration Date : ____ Name as Appears on Credit Card : ____ Signature/Full Name : ____ Date : ____ Please print out these forms and send them (by email or fax) with payment to: Lindsey Trent (Mrs), COMPSAC 2002 Registration Co-Chair Software Technology Research Laboratory, The SERCentre Hawthorn Building, De Montfort University Leicester, LE1 9BH, England Email: lrtrent@dmu.ac.uk Fax: +44(116)257-7936 Phone: +44(116)257-7579