Registration Form

ASSETS 2002

The Fifth International ACM SIGCAPH SIGCAPH Conference on Assistive Technologies
July 8 – 10, 2002
Edinburgh, Scotland, UK

http://www.acm.org/sigcaph/assets02/

Pre-registraton for ASSETS 2002 is now closed. Registrations
after June 26, 2002 must be completed onsite in Edinburgh

Ann Smith
Computer Science Department
700 Terrace Heights
Saint Mary's University
Winona, MN 55987
Fax: (507) 457-1401
Office: (507) 457-1430
DISCLAIMER: Saint Mary's University is handling registration for ACM ASSETS 2002. The university is not responsible for lost or stolen credit card information. Registration is not guaranteed until payment is received.

Your Contact Information:

Name _________________________________________________
Affiliation _________________________________________________
Address _________________________________________________
City _________________________________________________
State _________________________________________________
Zip Code _________________________________________________
Country _________________________________________________
E-mail _________________________________________________
Phone _________________________________________________
Fax _________________________________________________

Attendees with a vision disability may receive a CD version of the proceedings in lieu of the paper version of the proceedings. Check below if you wish to get the CD version.

____ CD version of the proceedings instead of paper version

A description of planned accessibility support available during the conference is given on the conference web page:

http://www.acm.org/sigcaph/assets02/accessibility.htm

Please indicate which of these support systems you will require. If you have a need that is not supported, please indicate that as well.

Accessibility needs:


__________________________________________________________________________

Please indicate any dietary restrictions you may have.


__________________________________________________________________________

Dietary restrictions:


CONFERENCE REGISTRATION INCLUDES:

  • Assets 2002 Proceedings
    		•
  • Lunch on all conference days
    		•
  • Admission to all conference presentations
    		•
  • Breaks on all conference days
    		•
  • Welcome reception
    		•
  • The registration fee does NOT include any other social event
    		•

    REGISTRATION CATEGORIES and FEES (check your type)

    On or Before
    May 10, 2002
    After
    May 10, 2002
    ACM Member ____ $350 ____
    $450
    non-ACM Member ____ $450 ____
    $550
    Guest (for reception only) ____ $ 35 ____
    $ 35
    Full-time Student ____ $200 ____
    $200
    1 Day ____ $200 ____
    $200

    ACM Member Number: __________________


    PAYMENT

    Please send a check or money order payable to "ACM/ASSETS" with your completed registration form, or supply the credit card information below on your faxed copy.

    Credit Card (check your type)

    ____ Visa ____ Master Card ____ American Express

    (Sorry, we cannot accept Diners Club.)

    Amount: ____________________

    Name (as it appears on the card): _______________________________

    Card Number: ______________________________________________

    Expiration (Month/Year): ___ / ______

    Signature: _________________________________________________

    Note: Cancellations made by June 15, 2002 will be refunded minus a $75 cancellation fee. No refunds will be accepted after June 15, 2002, however, you will receive the conference Proceedings.