REGISTRATION FORM FOR FPGA'01
Ninth ACM International Symposium on Field-Programmable Gate Arrays
February 11-13, 2001 Monterey, California
First Name for Badge: ______________________________________________________________________
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, breakfast, lunch, Sunday Reception, and Monday Banquet.REGISTRATION FEES
(Please circle appropriate fees)The cut off date for preregistration is February 2,2001. After this date you must register on-site.
| Registration on or before 1/19/01 | Registration after 1/19/01 | ||||||
|---|---|---|---|---|---|---|---|
| Member | Non-Member | Student | Member | Non-Member | Student | ||
| FPGA Conference | $325.00 | $425.00 | $85.00 | $400.00 | $500.00 | $ 95.00 | |
Guest Banquet Tickets: ____ tickets x $60 = ______
Membership:
SIGDA Membership $ 15 Student SIGDA Membership $ 15
ACM Membership $ 95 ACM Student Membership $ 38
Please check the ACM website for other options including proceedings packages and digital library.
Total Fees: US $_______________________ (Make checks payable to ACM/FPGA?01 Conference)
Payment included (circle one): American Express Master Card Visa Check
Credit Card Number:__________________________________ Expiration Date: _____________________
Names as it appears on Credit Card: _________________________________________________________
Signature: _____________________________________________________________________________
If paying by Credit Card, fax this form to: 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.
For questions (8:30 am - 4:30 PM EST), Email: acmhelp@acm.org.
Telephone: (US and Canada) 1-212-342-6626, (outside the US) 1-212-626-0500.
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.