CUG Conference Registration Form
Registration Deadline: March 4, 1997
Please submit separate registration forms for each attendee. Mail or fax the
registration form with check or credit card information by March 4, 1997 to:
Silicon Valley CUG
c/o Marcia Redmond
m/s 258-6
NASA Ames Research Center
Moffett Field, CA 94035-1000 U.S.A.
Telephone: (1-415) 604-4373 Fax: (1-415) 964-1760
First Name_______________________ Last Name__________________________________
Organization____________________________________ CUG Site Code________________
If user of a CUG Member, Name of Installation Delegate________________________
If visitor (no site code), approval by CUG Director___________________________
Department__________________________________________Mail Stop_________________
Postal Address________________________________________________________________
City, State-Province, Mail/Zip Code, Country__________________________________
Telephone (Country code-city/area code) number________________________________
FAX Number (Country code-city/area code) number_______________________________
Electronic Mail Address_______________________________________________________
Special Requirements (dietary)?_______________________________________________
______________________________________________________________________________
Please check where applicable:
____ I want my name / address omitted from the official CUG documentation.
____ I am a new CUG member or first-time attendee.
My site has the following CRAY machine(s):
XMP____ VMP____ J90____ C90____ T90____ T3D____ T3E____
Fees (all indicated prices include taxes)
Registration
Early registration (before March 4, 1997) $ 695.00 ________
Final registration (by April 18, 1997) $ 750.00 ________
Additional copies of Proceedings (Cost: $40/each) Quantity_______ = ________
Guest Tickets for night-out (Cost: $70/each) Quantity_______ = ________
Guest(s) Name(s)______________________________________________
Total due, in U.S. funds only ________
Check method of payment
Personal check____ Company check____ Credit Card: Visa____ MasterCard____ Travelers check____ P.O. (original must be attached to Registration Form____
Make check/P.O. payable to: Silicon Valley CUG
_______________________________________________________________________________
CARD NUMBER CARD HOLDER CARD EXPIRATION DATE
SIGNATURE______________________________________________________________________
Cancellation/refund policy--Conference registration cancellations should be made
before April 18, 1997. All registration fees will be refunded if cancellation
is received before this date.
Back to the Silicon Valley CUG Home Page
| 
