SIGAda 2000 Conference Registration

Step 1: Information about You!

For early registration (lower rates), please register and PAY by October 27, 2000.

Please COMPLETE the following Registration Form for the SIGAda 2000 conference scheduled for November 12-16, 2000, at the Johns Hopkins University Applied Physics Laboratory in Laurel, Maryland, USA.

Please note:

You are responsible for making your own hotel reservation(s).
For problems concerning registration contact:
- Mr. Thomas A. Panfil, Registration Chair, at TAPanfil@IEEE.Org
  Phone: +1.301.498.7313 (preferred; also evenings, nights, weekends)
  Office: +1.410.854.7302 (some days)
- Mr. Clyde Roby at ClydeRoby@ACM.Org
  Phone: +1.703.845.6666

indicates that the particular Fields are Required, i.e., must be filled in.

First Name:
Middle Name (or Initial):
Last Name:
Suffix (Jr./Sr./etc):

Badge Name (as you wish it to appear)

Title (e.g. Dr./Mr./Ms.):
Job Title:
Organization/Affiliation:

Address 1:
Address 2:
City:
State/Province:	Zip/Postal Code: Country:

Phone:

Country Code: Number:

FAX:	Country Code: Number:

If entering more than one E-Mail Address, separate them by spaces:

E-Mail Address(es):

Do NOT distribute my address information.

I am a full-time student

I am a member of a Sponsoring or Cooperating Society:

Please enter your Member Number for the Society selected above, if you have it available, to help us verify your membership status. Members of Ada Europe, Baltimore SIGAda, and DC SIGada, need not enter anything, since these groups do not issue membership numbers.

If you are not a member, join SIGAda and/or ACM now, and save money!

ACM and/or SIGAda Membership

$95 ACM Membership

$25 SIGAda Membership

$38 ACM Student Membership

$10 SIGAda Student Membership

Check any of the following that apply to you:

Tutorial Instructor	Conference Speaker	Invited Speaker
Local SIGAda Officer	Session Chair	Educator

Where are you planning to stay?

Conference Hotel Commute from home TBD

Other Lodging

A block of rooms has been set aside for SIGAda 2000 Conference attendees at the rate of US$109 single / US$119 double per night (this is the US government per-diem rate for Laurel, Maryland). Please identify your affiliation with SIGAda 2000 to receive this rate. Rooms in this block will be available at this favorable rate until October 27, 2000, after which the Conference rate or room availability cannot be guaranteed. Register early to obtain the Conference rate. Please make reservations directly with:

The Sheraton Columbia Hotel	Toll-Free Phone +1.800.638.2817 (US & Canada only)
10207 Wincopin Circle	Phone: +1.410.730.3900
Columbia, MD 21044	FAX: +1.410.730.2212

The SIGAda 2000 Conference venue is approximately 5 miles from the Conference hotel. We are providing a free shuttle service between these sites for your convenience.

Use of FREE Shuttle Service

Are you planning to use this free shuttle service for most of your commuting? Yes No TBD

Note: We are assuming that most people will take advantage of this service for the night of the Gala.

Please specify any Special Needs (meals, accessibility, etc.):

SIGAda 2000 Committee Use ONLY

These boxes are for the exclusive use of the SIGAda 2000 Committee.
Please do NOT use them unless the Committee has notified you how to use them.

Code: Staff Member ID:

$95	ACM Membership
$25	SIGAda Membership
$38	ACM Student Membership
$10	SIGAda Student Membership