The 2000 Vail Computer Elements

Registration Form

Vail, Colorado

June 25-28, 2000

Registration due by June 5, 2000

Name: _____________________________________________________

                                   (Last)                                    (First)                                (MI)

Company:  _________________________________________________

Street Address:  _____________________________________________

City, State, Zip, Country:  ______________________________________

Office phone:  _____________________

Fax number:  ______________________

Home phone:  _____________________

Yes, I want to join the Computer Elements Technical Committee:

IEEE Membership No. ( if any): _________________________

IEEE membership is not required to register.

For prompt confirmation, fax number is required. Confirmation will be faxed or mailed no later than June 13, 2000.

Registration Fee (per person): Includes workshop registration plus 3 nights accommodation, and all meals Sunday night through Wednesday noon.

Single occupancy (IEEE Member)                 $585.00

Single occupancy (IEEE non-member)           $635.00

Companion package (3 nights lodging and

reception plus 3 evening meals)                      $270.00

Companion’s Name: _____________________________

Special Needs: _________________________________

(Check in US dollars or register by credit card)

To register by credit card  (billed by Christiania Lodge)

Card Type: [ ] Mastercard [ ] Visa [ ] American Express

Card Number: ____________________  Expiration Date:  __/__/__

Signature:  ________________________________

The check should be made payable to Vail Computer Elements Workshop, and sent with your complete registration form to Dr. John T. Polhemus, IEEE Vail Computer Elements Workshop, 3115 S. York Street, Englewood, Colorado 80110, USA, mail early or call please. Telephone 303-781-6190, Fax 303-781-9405. P.S. After June 5, please first check with Dr. Polhemus before registering.