MobiCom'97 Registration Form ---------------------------- Last Name (Surname): _____________________________________________________ _____________________________________ [ ] Prof. [ ] Dr. [ ] Mr. [ ] Ms. First Name: ______________________________________________________________ Title/Position: __________________________________________________________ Company/Organization: ____________________________________________________ Address: _________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Telephone: _____________________________ Fax: ____________________________ E-mail Address: __________________________________________________________ WWW Homepage URL: ________________________________________________________ Name on Badge: ___________________________________________________________ [ ] ACM or [ ] IEEE Membership #: ________________________________________ Special needs (please describe): _________________________________________ _________________________________________ Vegetarian Meals: [ ] Yes [ ] No TUTORIAL SELECTIONS: Please select the tutorials you would like to attend: Friday, September 26: [ ] T1 (Full-Day) Wireless ATM: Standards, Architectures, Protocols & Implementation, Lou Dellaverson (Motorola, USA), C.-K. Toh (Hughes Research Laboratories, USA), and Arup Acharya (NEC, USA) [ ] T2 (Full-Day) Mobile IP: Adding Mobility to the Internet, Charles E. Perkins (Sun Microsystems, USA) Saturday, September 27: [ ] T3 (Full-Day) Simulation of Large Mobile Wireless Networks, Rajive Bagrodia and Mario Gerla (University of California at Los Angeles, USA) [ ] T4 (Half-Day, Cellular Wireless Networks: Principles and Morning) Operation, Zygmunt J. Haas (Cornell University, USA) [ ] T5 (Half-Day, Disconnected and Weakly Connected Access to the Afternoon) World Wide Web: Issues and Techniques, Murray S. Mazer (Open Group Research Institute, USA) WORKSHOP SELECTION: If you would like to attend one of the two workshops, please make your selection below (both workshops will be held on October 1, immediately following the conference technical program): [ ] WOSBIS The Second International Workshop on Satellite-based Information Services [ ] DIAL-M The First International Workshop on Discrete Algorithms and Methods for Mobile Computing and Communications REGISTRATION FEES: Early Registration Late Registration (Through August 29) (After August 29) Fee for each half-day tutorial: ACM/IEEE Members: [ ] $150 [ ] $200 Non-members: [ ] $200 [ ] $250 Full-time Students: [ ] $50 [ ] $70 Fee for each full-day tutorial: ACM/IEEE Members: [ ] $200 [ ] $250 Non-members: [ ] $250 [ ] $300 Full-time Students: [ ] $75 [ ] $95 Conference registration fee: ACM/IEEE Members: [ ] $400 [ ] $450 Non-members: [ ] $450 [ ] $500 Full-time Students: [ ] $100 [ ] $120 Workshop registration fee: ACM/IEEE Members: [ ] $100 [ ] $150 Non-members: [ ] $120 [ ] $170 Full-time Students: [ ] $50 [ ] $70 Total registration fees: Half-day Tutorials (____ half-day tutorials * $______) $_______ Full-day Tutorials (____ full-day tutorials * $______) $_______ Conference Registration $_______ Workshop Registration $_______ Optional Monday Dinner Cruise (____ tickets * $45) $_______ Total $_______ PAYMENT INFORMATION: [ ] I have enclosed a check or money order in USD payable to MobiCom'97 Please charge the Total above to my: [ ] VISA [ ] MasterCard [ ] American Express Credit Card #: _____________________________ Expiration Date: _________ Name as it appears on card: ___________________________________________ Signature: ____________________________________________________________ SEND PAYMENT TO: To register for MobiCom'97, print this form, fill it out, and mail or fax it to: ACM/IEEE MobiCom'97 c/o Ms. Nadine Hunley Lucent Technologies Bell Laboratories, Room 3K-331 101 Crawfords Corner Rd. Holmdel, NJ 07733 USA Telephone: +1 732 949-0819 Fax: +1 732 834-5906 E-mail: nhunley AT lucent.com You may also register by e-mail by completing and returning this plain text copy of the registration form. Please note that your credit card number is not secure when transmitted through e-mail. Payment by check, money order, or credit card must accompany your registration form. Purchase orders cannot be accepted. All fax and e-mail registrations must be paid by credit card. All registration fees above are in U.S. Dollars (USD) and must be paid in U.S. Dollars. A credit card signature will be required at the conference for e-mail registrations. Note: Written requests for refunds must be postmarked no later than September 12, 1997. Refunds are subject to a US $50 service charge. Participants with confirmed registration who fail to attend or notify MobiCom registration of cancellation before the refund date are subject to the full fee. Substitutions are allowed at any time. Registrations received after September 12, 1997 will be processed on-site only. All conference registrations include attendance at conference sessions, a copy of the conference proceedings, the Welcome Reception on September 27, the Conference Lunch and Conference Dinner Banquet on September 28, and coffee breaks. Breakfast is included in all hotels offered for the conference. Additional tickets to the Conference Dinner Banquet and additional copies of the conference proceedings will be available for additional cost. Please inquire when you register if you are interested in additional banquet tickets. Tutorial registration includes attendance at the tutorial, tutorial notes, and coffee breaks; full-day tutorials also include lunch. Workshop registration includes attendance at the workshop, workshop proceedings, lunch, and coffee breaks. An optional dinner cruise on the Danube River is being arranged for Monday evening, September 29. The price for this cruise is $45 per person and is not included in your conference registration fee. If you would like to join us for this dinner cruise, please mark the number of tickets desired on your registration form and add the appropriate amount to your total registration.