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-W AM)            $100 $100 $_____   $100 $100 $_____   N/A   $_____

2. WAdaS (Incl. SIGAda) (M-F) $100 $100 $_____   $100 $100 $_____  $ 75   $_____

   [incl. 1 copy of proceedings]

3. Tuorials (one day)         $100 $100 $_____   $100 $100 $_____  $ 75   $_____

   [incl. 1 copy of tutorial proceedings]

4. Tuorials (two day)         $100 $100 $_____   $100 $100 $_____  $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.