WAdaS '95 Registration Form

                            ACM/SIGAda Member  Non Member          Full Time
                            Before After       Before After        Student
                              6/5  6/5  Amount   6/5  6/5  Amount         Amount
1. SIGAda (M-Tu  )            $100 $100 $_____   $100 $100 $_____   N/A   $_____
2. WAdaS (Incl. SIGAda) (M-F) $300 $325 $_____   $350 $375 $_____  $ 75   $_____
   [incl. 1 copy of proceedings]
3. Tutorials (one day)        $180 $200 $_____   $220 $240 $_____  $ 75   $_____
   [incl. 1 copy of tutorial proceedings]
4. Tutorials (two day)        $300 $320 $_____   $340 $360 $_____  $125   $_____     
   [incl. 1 copy of tutorial proceedings]
TOTAL AMOUNT ENCLOSED                   $_____             $_____         $_____

ACM/SIGAda Member Number _____________________________________

______________________________________________________________
Full Name
______________________________________________________________ 	
Title 								
______________________________________________________________ 	
Company or Affiliation 					
______________________________________________________________
Department or Mail Stop 	
______________________________________________________________
Address
______________________________________________________________
City				State		Zip   
________________________(____)_________________________________
Country			 Telephone

Fees are payable by MasterCard, VISA, American Express, Diners Club, 
Government PR, Check or Money Order.  Payment must be received by  
June 5, 1995 to qualify for the early rates.

FAX TO:  (508) 443-4715.  FOR MORE INFORMATION, CALL:  (508) 443-3330.

Please make all checks payable to WAdaS ’95 and mail to:  
Danieli & O’Keefe Associates, Inc., Conference Management,  
Chiswick Park, 490 Boston Post Road, Sudbury, MA 01776.

_ MasterCard  _ AMEX   _ VISA   _ Diners Club  _ Govt PR (attach)
                                                           
____________________________________________________________
Signature
____________________________________________________________
Card No.	  Exp. Date

All payments must be in U.S. dollars

Tutorials (tutorials number by sequence)
(Please circle the tutorials you plan to attend)

Mon	AM	1	2	3	4
Mon	PM	5	6	7	8
Mon	Full	9	10	11
Tue	AM	12	13
Tue	PM	14	15	16
Tue	Full	17	18	19

Cancellation Policy:  Confirmed registrants who cannot attend, and do
not send a substitute, are entitled to a refund of paid fee if a
request is received in writing on or before June 10, 1995.  Registrants
are liable for their full fees after that date. All attendees
registered before June 10, 1995 will receive confirmation by mail.

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