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REGISTRATION FORM
Fifth Tcl/Tk Workshop
July 14-17, 1997
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Please complete this registration form and return it along with full
payment to:
USENIX Conference Office Phone: 714.588.8649
22672 Lambert St., Suite 613 Fax: 714.588.9706
Lake Forest, CA USA 92630
You may fax your registration form if paying by credit card. To avoid
duplicate billing, please do not mail an additional copy.
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NAME____________________________________________________________________
(first) (last)
FIRST NAME FOR BADGE___________________________USENIX Member ID_________
COMPANY OR INSTITUTION______________________________________________
MAILING ADDRESS_____________________________________________________
(mail stop)
_______________________________________________________________________
CITY___________________________STATE_____ZIP__________COUNTRY____________
TELEPHONE NO:____________________________FAX NO._________________________
EMAIL ADDRESS______________________________________________________
The address you provide will be used for all future USENIX mailings
unless you notify us in writing.
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ATTENDEE PROFILE
Please help us serve you better. By answering the following questions, you
help us plan our activities to meet members' needs. All information is confidential.
[ ] I do not want to be on the attendee list.
[ ] I do not want my address made available for other than USENIX mailings.
[ ] I do not want USENIX to email me notices of Association activities.
What is your affiliation (check one):
( ) academic ( ) commercial ( ) gov't ( ) research and development
What is your role in the purchase decision (check one):
1.( ) final 2.( ) specify 3.( ) recommend 4.( ) influence 5.( ) no role
What is your primary job function (check one):
1.( ) system/network administrator 2.( ) consultant
3.( ) academic/research 4.( ) developer/programmer/architect
5.( ) system engineer 6.( ) technical manager 7.( ) student
8.( ) security 9.( ) webmaster
How did you first hear about this meeting (check one):
1.( ) USENIX brochure 2.( ) newsgroup/bulletin board 3.( ) ;login:
4.( ) World Wide Web 6.( ) from a colleague 7.( ) magazine
What publications or newsgroups do you read related to Tcl/Tk?
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TUTORIAL PROGRAM
Select one AM and one PM tutorial. Sorry, no half-day registration allowed.
Monday, July 14, 1997
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[ ] M1am Effective Tcl/Tk Programming
[ ] M2am Building Multi-User Applications with GroupKit
[ ] M3pm Database Programming with Tcl/Tk
[ ] M4pm TclProp and OAT: Tools for Declarative Programming
TUTORIAL PROGRAM FEES (Monday, July 14)
Tutorial program for one day $335.00 $ _________
CEU credit (optional) $ 15.00 $ _________
Late fee if postmarked after Friday, June 27...Add $ 50.00 $ _________
TECHNICAL SESSION FEES (Tuesday-Thursday, July 15-17)
Current member fee $340.00 $ _________
(Applies to individual members of USENIX, EurOpen
national groups, JUS, and AUUG)
Non-member fee* $410.00 $ _________
*Join or renew your USENIX membership, AND attend
the conference for the same low price. CHECK HERE [ ]
Late fee if postmarked after Friday, June 27...Add $ 50.00 $ _________
Full-time student** fee, pre-registered or on-site $ 75.00 $ _________
Full-time student** fee including USENIX membership fee $100.00 $ _________
**Students: Attach a photocopy of current student ID
TOTAL DUE $ _________
Payment (U.S. dollars only) must accompany this form. Purchase orders,
vouchers, email, and telephone registrations cannot be accepted.
[ ] Payment enclosed. Make check payable to USENIX Conference.
Charge to my: ___VISA ___MasterCard ___American Express ___Discover
Account No. ____________________________________ Exp. Date ___/___
___________________________________/_________________________________
Print Cardholder's Name Cardholder's Signature
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REFUND/CANCELLATION POLICY
If you must cancel, all refund requests must be in writing with your
signature, and postmarked no later than July 2, 1997. Telephone
and email cancellations cannot be accepted. You may substitute another
in your place. Call the conference office for details: 714.588.8649.
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