MobiCom 2003
                          The Ninth Annual International Conference on
                                 Mobile Computing and Networking
                       September 14-19, 2003      San Diego, California, USA
                                       REGISTRATION FORM

First Name for Badge : _____________________________________________________________________

Name (first, middle, last): ________________________________________________________________

Affiliation (for badge): ___________________________________________________________________

Title/Job Function: ________________________________________________________________________

Address: ___________________________________________________________________________________

City: ______________________ State/Province: __________________ Zip/Postal Code: ___________

Country: __________________________ Email: __________________________________________________

Phone: (____)___________________________ Fax: (_____)________________________________________

ACM/SIG Member ID: _______________________________  Student ID: _____________________________

Special Needs:______________________________   
Special Dietary Requirements:    Vegetarian    Kosher     Vegan

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

PLEASE NOTE: Tutorial registration fee includes tutorial notes for the tutorial(s) you register 
for.  You may register for more than one tutorial; each registration fee is separate.  
Conference registration fee includes one copy of the conference proceedings, continental 
breakfast and Conference Lunches, Welcome Reception on September 15, and one ticket to the 
Conference Banquet Cruise on September 16.  Workshops registration fee includes lunch and 
workshop proceedings for the workshop you register for.

                                          REGISTRATION FEES
                    Please circle appropriate fees.  All fees are in US dollars.
                     The cut off date for preregistration is September 5, 2003.  
                             After this date you must register on-site.
__________________________________________________________________________________________
                           Registration on or                  Registration After
                          Before August 28, 2003                 August 28, 2003
 __________________________________________________________________________________________
                        Member   Non-Member   Student     Member   Non-Member   Student
MobiCom 2003 Conf.      $ 610     $ 675       $ 300       $ 725     $ 775       $ 325

Full Day Tutorial       $ 350     $ 425       $ 175       $ 425     $ 485       $ 200
Half Day Tutorial-AM	$ 225     $ 275       $ 100       $ 300     $ 375       $ 150
Half Day Tutorial-PM	$ 225     $ 275       $ 100       $ 300     $ 375       $ 150
 
 Workshops (all workshops are at the same time, full-day, September 19):	
 DIALM-POMC		$ 100     $ 150       $  75       $ 130     $ 180       $  75
 MobiDE 		$ 100     $ 125       $  75       $ 125     $ 150       $  75
 MSWiM			$ 175     $ 210       $ 140       $ 210     $ 245       $ 140
 WiSe			$ 165     $ 215       $ 140       $ 215     $ 265       $ 140
 WMASH			$ 165     $ 215       $ 140       $ 215     $ 265       $ 140
 WSNA			$ 185     $ 220       $ 120       $ 210     $ 250       $ 120
__________________________________________________________________________________________

Member registration rates are available for members of SIGMOBILE and/or ACM.  You must 
provide your membership number with registration.  If you are not currently a member, you 
should consider joining, getting your membership number, and then registering to get the 
discount registration fees.

Student registration fees are available for full-time students.  You must provide your 
student ID number with your registration and must show proof of full-time student status 
such as your student ID card at the registration desk at the conference.  Student registration 
includes all items in the full registration.


Tutorial Choices - Please mark choices below:
September 14, 2003 - Full-day tutorial
____ T1 - Secure Routing in Ad Hoc Networks

September 15, 2003 - Half-day tutorials
Morning:                                 Afternoon:
____ T2 - Public-Area Wireless Networks  ____ T3 - IP Mobility Support in a Mobile Internet
____ T4 - Mobile Ad Hoc Networking       ____ T5 - Topology Control in Wireless Ad Hoc Networks


 Extra Banquet Tickets September 16  (1 Ticket is included with MobiCom 2003 Conference 
                                  Registration Fee)
$ 75 each  x  ____ quantity  =  $ _____ total


Total Fees: US $ _______________________ (Make checks payable to ACM/MobiCom 2003 Conference)

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

Credit Card Number: ___________________________________ Expiration Date: __________________

Name as it appears on Credit Card: ________________________________________________________

Signature: ____________________________________________________________________________


For Registration by Fax:
1-212-944-1318, Attention: ACM/MobiCom 2003 Conference
For Registration by Mail (include check and registration form):
	Attention: ACM/MobiCom2003 Conference Registration
	ACM Member Services
	P.O. Box 11405
	New York, NY  10286-1405, USA

For questions (8:30 AM - 4:30 PM EST), Email: acmhelp@acm.org
Telephone: (US and Canada) 1-800-342-6626, (outside US) 1-212-626-0500

Cancellation Information:  Written requests for refunds must be received by the ACM 
Member Services Department no later than September 1,2003.  Refunds are subject to a 
US $75 service charge.  Registered participants who fail to attend or notify the 
ACM Member Services Department of cancellation by the above date are subject to the full fee.

You should receive e-mail confirmation once your order is processed.  If you do not please 
contact the ACM Member Services Department at the above contact information.