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.
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:
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