INFOCOM 2001 To register, please fax or mail this form with payment by Monday, 2 April to: IEEE Computer Society, INFOCOM 2001 Registration, Dept. 6006 Washington, D.C.. 20042-6006 Fax +1-202-728-0884/Phone Inquires +1-202-371-0101 (No phone registrations) Registration forms without payment will not be accepted. Please Print Clearly: Name: ( ) Mr. ( ) Ms. ( ) Dr. ( ) Prof. __________________________________________________________ _________________ Last/Family First MI Badge Name Company:_____________________________________________________________________ Address/Mailstop:____________________________________________________________ City/State/Zip/Country:______________________________________________________ Phone Number: __________________Fax Number:_______________E-mail:____________ ( ) Do not include my name and other information about me on the attendee list ( ) Do not include my name and mailing address on a non-society mailing list IEEE or AEI, AEAI, CIC, CIE, CIEE, IEICE, IETE, ISOC, KICS, POPOV, REV, SEE, SBT, VDE Member Number:_____________________ Full-time student certification (have advisor sign):_________________________ Please advise us if you have any special needs:( ) Access ( ) Audio ( ) Visual ( ) Vegetarian ( ) Kosher INFOCOM CONFERENCE REGISTRATION: Registration includes admission to all conference sessions, conference proceedings, refreshment breaks, conference lunches and conference reception. Preferred Proceedings (Please select one): ( ) CD-ROM ( ) Paper Advance (received by 2 April) Late/On-site (received after 2 April) ( ) Member: U.S. $500 ( ) Member: U.S. $600 ( ) Nonmember: U.S. $625 ( ) Nonmember: U.S. $750 ( ) Full-time student: U.S. $200 ( ) Full-time student: U.S. $240 TUTORIALS Full-Day Tutorial: Fees are per tutorial. Fees include lunch on day of tutorial ( ) T4 - TCP Congestion Control: Algorithms and Models (Sunday, 22 April) ( ) T7 - Control and Management for Optical Networks: An IP-Centric Approach (Monday, 23 April) ( ) T8 - Principles of Multicast Protocols and Services (Monday, 23 April) Advance (received by 2 April) Late/On-site (received after 2 April) ( ) Member or Student: U.S. $400 ( ) Member or Student: U.S. $480 ( ) Nonmember: U.S. $500 ( ) Nonmember: U.S. $600 Half-Day Tutorial: Fees are per tutorial. Fees include lunch on day of tutorial ( ) T1 - Wireless Home Networks: Technologies and Applications (Sunday morning, 22 April) ( ) T2 - Quality of Service (QoS) Support for Broadband Wireless Networks (Sunday afternoon, 22 April) ( ) T3 - Traffic Engineering in IP/MPLS Networks (Sunday afternoon, 22 April) ( ) T5 - Video Over IP (Monday morning, 23 April) ( ) T6 - Bluetooth and Pervasive Wireless Networking (Monday afternoon, 23 April) Advance (received by 2 April) Late/On-site (received after 2 April) ( ) Member or Student: U.S. $250 ( ) Member or Student: U.S. $300 ( ) Nonmember: U.S. $315 ( ) Nonmember: U.S. $375 OPENARCH 2001 REGISTRATION: Registration includes admission to all OpenArch sessions, OpenArch proceedings, refreshment breaks, and lunches. Advance (received by 2 April) Late/On-site (received after 2 April) ( ) Member: U.S. $285 ( ) Member: U.S. $335 ( ) Nonmember: U.S. $335 ( ) Nonmember: U.S. $385 ( ) Full-time student: U.S. $150 ( ) Full-time student: U.S. $200 GIGABIT NETWORK WORKSHOP REGISTRATION: Registration includes admission to all workshop sessions, refreshment breaks, and lunch. Advance (received by 2 April) Late/On-site (received after 2 April) ( ) Member or Student: U.S. $175 ( ) Member or Student: U.S. $210 ( ) Nonmember: U.S. $225 ( ) Nonmember: U.S. $270 Additional Proceedings: ( ) CD-ROM U.S. $50 ( ) Paper U.S. $50 TOTAL ENCLOSED:_____________ Please make checks payable to: IEEE COMPUTER SOCIETY. All checks must be in US DOLLARS drawn on US BANKS. Credit card charges will appear on statement as "IEEE Computer Society - Registration". Written requests for refunds must be received at the above address before Monday, 9 April 2001. Refunds are subject to a US $50 processing fee. METHOD OF PAYMENT: _____Personal Check _____Company Check ______VISA _______MasterCard _____American Express _____Diners Club Credit Card Number: _______________________________Exp. Date:________________ Cardholder Name: _________________________________ Signature:________________ WIN $100 DINNER Many INFOCOM 2001 announcements include a Dinner Code found either near the mailing address or elsewhere in the text of the announcement. If you have a Dinner Code, enter it here and you may be the lucky winner of a $100 dinner at INFOCOM 2001. Enter dinner code ________________________________