REGISTRATION FORM FOR FPGA’02

    ACM/SIGDA International Symposium on Field Programmable Gate Arrays

February 24-26, 2002         Monterey, California, USA

     To register on the web, go to http://www.acm.org/conferences/fpga02

 

Name (first, middle, last): ________________________________________________________________________________

 

Affiliation (for badge): ___________________________________________________________________________________

 

Title/Job Function: _______________________________________________________________________________________

 

Address: _______________________________________________________________________________________________

 

City: __________________________________ State: ____________________________ Zip Code: ______________________

 

Country:  ______________________________   Email: __________________________________________________________

 

Phone: (____)__________________________________ Fax: (_____)_______________________________________________

 

ACM/SIG Member ID: ____________________________________     Student ID: ____________________________________

 

Special Needs:_________________________________________   Special Meal Requirements:    Vegetarian    Kosher     Vegan

 

Do not include my name, address and e-mail id in the conference attendee listing _____.

 

PLEASE NOTE: Conference registration fee includes one copy of the conference proceedings, 2 continental breakfasts, 2 lunches,

one ticket to Sunday’s Reception and one ticket to Monday’s Aquarium Dinner.

 

REGISTRATION FEES  (Please circle appropriate fees)

The cut off date for preregistration is February 15, 2002. After this date you must register on-site.

 

                                                      Registration on or Before 1/18/02                    Registration after 1/18/02

                                                      Member         Non-Member    Student                Member       Non-Member      Student

FPGA’02 Conference                 $325.00           $425.00               $ 85.00                  $400.00         $500.00                 $ 95.00

 

Extras:

Guest Monday’s Aquarium Dinner Tickets:   ____ tickets x $75 = ______

 

Total Fees: US $_______________________ (Make checks payable to ACM/FPGA’02 Conference)

 

Payment included (circle one): American Express         Master Card           Visa         Check

 

Credit Card Number: __________________________________ Expiration Date: _____________________

 

Names as it appears on Credit Card: _________________________________________________________

 

Signature: _____________________________________________________________________________

 

For questions (8:30 am - 4:30 PM EST), Email: acmhelp@acm.org  Telephone: (US and Canada) 1-800-342-6626,

(outside the US) 1-212-626-0500. For Credit Card payments, Fax 1-212-944-1318,.

                                                                             If paying by check, mail check with registration form to:

ACM Member Services, P.O. Box 11405, New York, NY 10286-1405, USA

 

Cancellations must be received in writing by contacting the ACM Member Services Department.

A US $50 cancellation fee will be charged.

You should receive e-mail confirmation within 3 business days.  If you do not please contact our

member services department at the above contact information.

 

Remember, if you are planning to stay at the conference hotel, you must ALSO make a hotel room reservation:

USA+831-394-3321  http://www.montereybeachresort.com