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REGISTRATION FORM
40th Internet Engineering Task Force - Page 1 of 2
December 8-12, 1997
Washington, D.C.
Please complete in print or type:
Name (Mr/Dr/Ms)__________________________________________________________
Organization_____________________________________________________________
Address (line 1)_________________________________________________________
(line 2)_________________________________________________________________
City_____________________________State_____________Postal Code___________
Country__________________________________________________________________
Telephone______________________________Fax_______________________________
Email____________________________________________________________________
Do you plan to attend the Newcomer's Orientation on Sunday,
December 7th 1530?
YES___ NO___
Do you plan to attend the Reception on Sunday, December 7th at 17:00?
YES___ NO___
The IETF Proceedings will be available electronically.
Would you like to purchase a Hard Copy for an additional US$50.00?
YES___ NO ___
Would you like to purchase a CD-ROM Copy for an additional US$10.00?
YES___ NO___
Are you a full-time student (student ID required at check-in)?
YES___ NO___
The following three payment options are currently available
(additional on-line options are planned for future meetings):
1) E-mail this page with the requested payment information
using PGP to: ietf-registrar@ietf.org
(to download PGP go to http://web.mit.edu/network/pgp.html)
2) Print and fax this page with the requested payment information
to: 703-758-5913
3) Print and mail this page with the requested payment information
to: Corporation for National Research Initiatives
IETF Meeting
Attn: Accounting Department
1895 Preston White Drive, Suite 100
Reston, VA 20191-5434
Please indicate method of payment:
___AMEX ___VISA ___MC ___Diners ___Check
If check: in U.S. dollars, drawn on a U.S. Bank, payable to:
Corporation for National Research Initiatives
If credit card: Account Number:____________________________
Expiration Date:__________________
Cardholder Name__________________________________________________________
Cardholder Signature_____________________________________________________
REGISTRATION FORM
40th Internet Engineering Task Force - Page 2 of 2
December 8-12, 1997
Washington, D.C.
IMPORTANT:
The resgistration fee is US$300.00 if received by the cut-off
date of: 28 November 1997.
After this date, a fee of US$400.00 must be paid on-site, whether
or not you have pre-registered.
Full-time students with proper ID will receive a US$100 credit
toward the registration fee.
If you checked YES to receive a Hard Copy or CD-ROM copy of the
Proceedings, US$50.00 or US$10.00 respectively will be added
to the registration fee.
Your credit card account will show a charge to CNRI-Reston, VA.
REFUND POLICY: Refunds are subject to a US$50.00 service charge.
Requests for refunds must be received by 1800ET, Thursday,
December 4, 1997. Refund requests will not be honored beyond this
point.
Register ONE person per form. Substitutions are NOT allowed.
Include a completed Registration Form with payment.
Purchase orders are not accepted. We cannot invoice for payment.
DD Form 1556 IS accepted.
Your registration fee includes Sunday evening reception (cash bar)
and coffee breaks.
Please contact the IETF Registrar if you have any questions concerning
registration, payments, etc.
Telephone: 703-620-8990
Fax: 703-758-5913
E-mail: ietf-registrar@ietf.org
Direct all inquiries to: 40th IETF Meeting - Washington,D.C.