REGISTRATION FORM PLEASE COMPLETE THE FOLLOWING, AND SEND BY REGULAR MAIL WITH A CHECK FOR YOUR CONFERENCE FEE AND DINNER TICKETS (IF ANY) SO AS TO ARRIVE BY FRIDAY SEPTEMBER 20, 2002. Name ________________________________________________________ Institution/Company ___________________________________________ Department ___________________________________________________ Address ______________________________________________________ City ________________________________ Province/State ____________________________ Postal/ZIP code ______________________ Telephone ___________________________ Email _________________________________________________________ NOTE: The conference fee includes morning and afternoon refreshment breaks and lunch. Conference fee $15 Can. or $10 US Conference speakers fee $0 I will attend the dinner : Yes or No _____________ (if Yes, complete the following) Salmon dinner __ ticket(s ) $30 Can. or $20 US each Chicken dinner __ ticket(s ) $26 Can. or $17.33 US each Vegetarian dinner __ ticket(s ) $23 Can. or $15.33 US each TOTAL AMOUNT ENCLOSED $ ______ Can. or $ ___________ US Receipt needed for the conference fee Yes or No Receipt needed for the dinner ticket(s) Yes or No If Yes for dinner receipt, state amount $ ____________ Comments/questions PLEASE MAIL A CHECK (payable to Dale Olesky) FOR THE TOTAL AMOUNT ABOVE (SO AS TO ARRIVE BY FRIDAY SEPTEMBER 20) TO Dale Olesky Dept of Computer Science University of Victoria PO Box 3055 Victoria, BC Canada V8W 3P6