REGISTRATION FORM

(Please print and submit one form per attendee by mail.)

PERSONAL INFORMATION

Name _____________________________________________________________________

University/Organization ________________________________________________________

Mailing Address _____________________________________________________________

__________________________________________________________________________

Business Telephone ( _____ ) __________________________________________________

Fax ( _____ ) _______________________________________________________________

E-mail _____________________________________________________________________

Name for Badge _____________________________________________________________

Is this the first CRA Conference you have attended?

YES or NO

Which workshop series do you plan to attend?

ACADEMIC or INDUSTRIAL DIRECTORS.

Spouse/Guest Name __________________________________________________________

Name for Badge ______________________________________________________________

REGISTRATION FEES

The registration fees, which include all conference meals, are as follows:

CRA members: $425 (by May 31); $450 (after May 31)

Non-members: $575 (by May 31); $600 (after May 31)

Spouse/guest: $200 (by May 31); $250 (after May 31)

CRA member: $____________

Non-member: $____________

Spouse/guest :$____________

TOTAL: $_________________

All registration fees must be paid in full with registration form, or include a copy of your organization's purchase order.

Check one:

__ Enclosed is a check for registration feeds made payable to the Computing Research Association.

__ Enclosed is a purchase order. Payment is being processed.

__ Enclosed is a purchase order. Please invoice my organization.

SPECIAL SERVICES

__ Please check here if you are disabled or require special services. Attach a written description of needs.

HOTEL REGISTRATION

The conference hotel is the Cliff Lodge at Snowbird Ski & Summer Resort. All hotel accommodations must be arranged through CRA. Do not contact the hotel directly.

Please enclose payment for the first night's deposit to guarantee reservation. Hotel accommodations are limited and available on a first-come, first-serve basis.

Arrival Date: ________________________________________________________________

Estimated Arrival Time: _______________________________________________________

Departure Date: ____________________________________________________________

Estimated Departure Time: ____________________________________________________

The daily room rates (not including meals and 9.63% lodging/state tax) are:

Bedroom $89; Deluxe Bedroom $136; One-Bedroom Suite $225;Two-Bedroom Suite $361

__ Enclosed is a check for the first night's deposit made payable to the Computing Research Association.

__Charge the hotel deposit to:

__ VISA __ American Express __ MasterCard __ Diners Club

Card Number ________________________ Expiration Date ________________________

Print name as it appears on card: __________________________________________________

Cardholder's Signature: __________________________________________________________

Please print and mail this form with appropriate payment to:

CRA Conference at Snowbird '96 Computing Research Association
1875 Connecticut Ave. NW, Suite 718
Washington, DC 20009