REGULAR CONFERENCE REGISTRATION FORM -- ICTE Tallahassee 2001
To register to attend ICTE Tallahassee, please print out this form using the Print command, or the File / Print command, from your browser while the form is displayed. Then fill it out, and mail or FAX this completed form to the address or FAX number listed below. If you mail the Conference Registration Form, please do so in time for it to arrive by April 23, 2001. Do not mail the Conference Registration Form unless you are sure it will arrive by this date; if in doubt, please FAX the form to the FAX number below.
Registrations not mailed or faxed to be received by April 23, 2001 must be brought to the registration desk at the ICTE Tallahassee Conference at Florida State Universityr during ICTE on-site registration, which will begin on Wednesday, May 2, 2001. Letters and faxes sent to ICTE Inc.’s Texas office cannot be answered after April 23, 2001. Any questions regarding Registration should be directed to the Conference Secretariat Office at +1-972-64-0504 or faxed to +1-972-641-0792, or sent by e-mail to icte@icte.org.
(This form is to be used for persons attending the Conference but not presenting. Persons wishing to present at the Conference should print out and complete the Presenter Application / Registration Form elsewhere on this web site.)
If you elect to pay for one or more Thursday Dinner / Receptions ($25 USD) or Conference Banquets ($35 USD each), or for one or more sets of Conference Proceedings for ICTE Tallahassee ($65 USD) at this time, please include these payments in the total.
Registration Fees:
Postmarked on |
Postmarked after |
Amount Enclosed |
||
Registration |
$ 295 | $ 330 | __________ | |
Thursday Eve. Informal Dinner / Reception |
$ 25 | $ 25 | __________ | |
Friday Evening Conference Banquet |
$ 35 | $ 35 | __________ | |
Conference Proceedings * |
$ 65 | $ 115 | __________ | |
| Total: | __________ | |||
| * Postage and packing included. Papers presented at the Conference will be published in the Proceedings. | ||||
PLEASE TYPE OR PRINT IN BLOCK LETTERS:
NAME:_____________________________________________________________________________
Position/Title:_______________________________________________________________________
Organization:_______________________________________________________________________
Mailing
Address:____________________________________________________________________
Province/Country/Postal Code:________________________________________________________
Phone (include country codes):__________________________ Fax: ______________________
e-mail:_____________________________________________
I am interested in school visits (details to be posted on this web site in January, 2001)
[ ] I would prefer visits on Tuesday, May 1 [ ] I would prefer visits on Wednesday, May 2 Number of persons ____ (No charge for conference attendees.)
[ ] SPECIAL NEEDS Please check here if you require special assistance to fully
participate in ICTE. Attach a written description of needs. (Please request
special services prior to March 31, 2001.)
Remit payment in U.S. dollars only. Make check or money order payable to: ICTE, Inc. A Check, Money Order, Purchase Order or Credit Card number must accompany this form. DO NOT SEND CASH. Send to the address at the bottom of this form.
Payment By:
[ ] Check # _________ [ ] Purchase Order # __________________
[ ] Money Order [ ] MasterCard [ ] VISA [ ] AmEx
Account Number: ___________________________________________________________
Expiration Date: _____________________
Name as it appears on Credit Card: ______________________________________________________
Credit Card Billing Address: ____________________________________________________________
Signature:_________________________________________________________________
(Required
for Credit Card Payments)
TOTAL REMITTED _______________ DATE _____________
MAIL OR FAX TO:
ICTE Tallahassee
Conference Secretariat
Post Office Box 540579
Grand Prairie, TX 75054-0579 USA
FAX (only if paying by credit card):
+1-972-641-0792
IF SENDING VIA COURIER (FedEx, Purolator, or other courier):
ICTE Tallahassee
c/o Dr. Lynn Peterson
University of Texas at Arlington
Dept. of Computer Science and Engineering
416 Yates, 300 Nedderman Hall
Arlington, TX 76019 USA