VTIC '97 REGISTRATION FORM

Full Name:
  Title (Mr, Mrs, Ms, Dr, etc)
  First
  Last            M.I

Employer or School Name and Address:
 Name
 Street
 City, State, Zip Code
 Country

Telephone Number:
 Work
 Home
 Fax

E-Mail Address:
  (Required)

Registration fee:

Full Conference (includes all seminars, workshops, lunches, proceedings, and banquet)

• Early registration (before June 1, 1997)
• VACETS Members and Organizing Committee - $100
• Non-VACETS Members - $120
• Onsite registration - $130

One-day conference (includes only seminars and workshops)

• On-site registration only - $40 per day

Student Program (includes all seminars, workshops)

• Early registration (before June 7, 1997) - FREE
• On-site registration - $20

Banquet

If you are registered for a Full Conference, the cost of the banquet for yourself is already included. If you just want to attend the banquet, or would like to bring additional people, the cost is $25 per person.

Please check the appropriate boxes:

 VACETS Member
 Conference Committee Member
 Full-time student
 I would like to register for a full conference
 I will attend the banquet. How many people (including yourself) ?