2001 International Conference on Computational Science (ICCS 2001) San Francisco, California, USA May 28 -- May 30, 2001 http://www.ucalgary.ca/iccs http://www.hpcc.rdg.ac.uk/iccs REGISTRATION FORM Please fill in BLOCK CAPITALS, mark X where appropriate and send to the organizers (see below for contact information). PARTICIPANT Last name: _________________________ First name: _______________________ Title: ______________________ Institution (to appear on badge): ______________________________________ Institution (full name): _______________________________________________ Address: _______________________________________________________________ ___________________________________ Country: __________________________ Telephone: ______________________ Facsimile: __________________________ E-mail: ________________________________________________________________ ACCOMPANYING PERSON(S) Last name: _________________________ First name: _______________________ Last name: _________________________ First name: _______________________ Last name: _________________________ First name: _______________________ PRESENTATION Paper ID (s): __________________________________________________________ I am going to attend TUTORIALS: ______________________________________ HOTEL RESERVATION (HILTON SAN FRANCISCO AND TOWERS) Please see http://www.ucalgary.ca/iccs/hotel.html (N. American mirror) or http://www.hpcc.rdg.ac.uk/iccs/hotel.html (European mirror). REGISTRATION FEE and ADDITIONAL FEES Before March 29, 2001: ---------------------- Note: All participants who will be presenting their papers must register by March 29, 2001. Technical Session, Workshop, Minisymposium, and Tutorial organizers ("Event Organizers"), must register by March 29, 2001 as well. Regular participant (this entitles you (USD $350.00) USD $ ________ to present 1 paper) Each subsequent paper (eg: second, (USD $250.00) USD $ ________ third, etc.) Student participant (this entitles you (USD $250.00) USD $ ________ to present 1 paper) Each subsequent paper (eg: second, (USD $200.00) USD $ ________ third, etc.) Event Organizers (this entitles you (USD $275.00) USD $ ________ to present 1 paper) Each subsequent paper (eg: second, (USD $200.00) USD $ ________ third, etc.) After March 29, 2001: --------------------- Regular participant (USD $450.00) USD $ ________ Student participant (USD $300.00) USD $ ________ Social events for accompanying person Reception (per person) (USD $35.00) USD $ ________ Conference Dinner (per person) (USD $35.00) USD $ ________ TOTAL PAYMENT USD $ ________ Please indicate any special dietary requirements (eg.: vegetarian, vegan) _________________________________ PAYMENT METHOD The registration and additional fees can be paid by: a. Direct Bank Transfer. Bank: Lloyds TSB Bank Market Place Reading RG1 2EQ United Kingdom Account Name: The University of Reading - Receipts Account Account Number: 276550 Sort Code: 30-96-96 SWIFT Code: LOYDGB2L Please quote reference QVNAT, ICCS 2001 and your name on the payment order. b. Credit Card Please fill in details below: Card type: VISA/MASTERCARD/DELTA Card number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Name on the card: _______________________________ Expiry Date: _ _ / _ _ / _ _ (if paying by credit card please also fax this form) Date: __________________ Signature: _____________________ Please return this form to ONE of the following: Mailing address: ICCS 2001 School of Computer Science The Queen's University of Belfast Belfast BT7 1NN United Kingdom Mailing address: ICCS 2001 Department of Computer Science The University of Reading Reading RG6 6AY United Kingdom E-mail: iccs2001-register@csres.cs.rdg.ac.uk Facsimile: 44-289-068-3890 Facsimile: 44-118-975-1994 ========================================================================