Last Name: _______________________ First Name: ________________________

Position/Title: ____________________________

University/Organization: ______________________________________________

__________________________________________________

Telephone:________________________Fax:_________________________

E-mail:  ___________________________

Special Requirements: _________________________________________________

____________________________________________________________________

 

Registration Category	Price*		Amount
Conference Fee(By June 20, 2001)	$365		$
Conference Fee(By July 20, 2001)	$400		$
Conference Fee(At the door)	$450
Student conference fee  (click to see details)	$200		$
Extra Proceedings                 How many? []	$130		$
Guest lunchHow many? []	$20		$
Guest dinner and theatreHow many? []	$70		$
Guest BanquetHow many? []	$50		$ ________
	TOTAL:		$

*All prices are in US dollars.Conference fee includes Proceedings, all meals, and Theatre.

Method of Payment (Please check one. Forms without payment will not be processed.)

Check or money order in U. S. funds, drawn on a U.S. bank, payable to IFIP WG 8.2 
Credit card - VISA or MasterCard only.

Please charge myVISA _____Master Card_____

Account Number__________________________

Signature______________________________Expiration Date____________ 

 
 

Bank Wire Transfer (in U. S. funds)to: 

    First Security Bank of Idaho

          Boise Main Branch
          119 N. 9th Street
          Boise, Idaho 83702

Account Number: 0030071146
Routing Number: 124100080

Please specify in the addendum: BSU account Code--- 00861020
and the Conference name as IFIP WG 8.2 Conference2001 

Gregory Wojtkowski (IFIP WG 8.2 2001)
Boise State University
Department of Computer Information Systems
and Production Management
1910 University Drive
Boise Idaho 83725, USA

2. Fax: +1 208 387 3572 (Secured Fax)

Faxed registration must be paid by VISA, Master Card, or wire transfer

(Please include wire transfer bank receipt).