REGISTRATION FOR ACM SIGCOMM '97 Name: Affiliation: Address: City/State/PostCode: Country (if not US): Telephone: FAX: Email: Information you want to be printed on your badge (3 lines max.): ACM Member #:* *You must list your member number in order to qualify for the member rate. To join ACM and/or SIGCOMM for the lower conference rate (the member rate plus ACM membership is less than the non-member rate) contact ACM at: Phone: 1-800-342-6626 or +1-212-626-0500, FAX: +1-212-944-1318, Email: acmhelp@acm.org (please mark your mes- sage ``SIGCOMM'97 Join''). Special Needs? (Please Specify) May we include your address and e-mail on the attendee list? [ ] Yes [ ] No REGISTRATION FEES: CONFERENCE: Early Late Early Late Early Late Member Member Nonmember Nonmember Student Student By Aug 14 After By Aug 14 After By Aug 14 After Aug 14 Aug 14 Aug 14 $375 $420 $450 $500 $110 $200 SUBTOTAL: $____________ TUTORIALS: (Please note: You must pay for each tutorial you register for) Early Late Early Late Early Late Member Member Nonmember Nonmember Student Student By Aug 14 After By Aug 14 After By Aug 14 After Aug 14 Aug 14 Aug 14 $300 $350 $400 $450 $150 $200 Sunday September 14 Tutorial (choose one) Tutorial SUN1: $____________ Tutorial SUN2: $____________ Monday September 15 Tutorial (choose one) Tutorial MON1: $_____________ Tutorial MON2: $_____________ Additional Social Event tickets [ ] @$80 ea. $_____________ TOTAL (Conference and Tutorial): $_____________ Payment Information Credit Card Type: [ ] VISA [ ] MASTER CARD [ ] AMERICAN EXPRESS Credit Card Number: Expiration Date: / Cardholder Name: Signature: Your credit card statement will show SIGCOMM '97 charges from Nth Degree. Please Note: Purchase orders CANNOT be accepted. Mail, FAX or E-Mail This Form To: SIGCOMM '97 Registration c/o Nth Degree 490 Boston Post Road Sudbury MA 01776 Fax: +1-508-440-8931 Tel: +1-508-443-3330, ext. 1230 email: acmreg%ndegree@notesgw.compuserve.com