DSN Registration Form
June 25 - June 28, 2000

Please MAIL or FAX the form to:

IEEE Computer Society
Attn:  DSN Registration
Department 6006
Washington, D.C.  20042-6006

FAX: 202-728-0884
Tel: 202-371-1013

PERSONAL INFORMATION

Last Name: ________________  First Name: __________________  Middle Initial:  ___

Affiliation: _______________________________________________________

Mailing Address: ___________________________________________________

City: ______________________  State: ________________

Country: ___________________  Zip/Postal Code: _____________

Phone: _____________________  Fax:  ____________________

E-mail: ____________________________

___ Do not include my name, address, phone, fax,
                    and email on a published list of attendees.

___ Do not include my name and address on a mailing list

Dietary needs: (e.g., vegetarian) ____________________________________

IEEE/CS Membership No.: ____________________

Please check here if, under the Americans with Disabilities Act,
you require specific aids or services during your visit.):

             ___ Audio
             ___ Visual
             ___ Mobile

CONFERENCE REGISTRATION
Conference Registration cost includes one copy of the proceedings and attendance at 
all technical sessions including workshops (but not tutorials), reception, lunches, 
and a fabulous NYC skyline cruise including dinner and entertainment.  Student 
Registration does not include attendance at lunches nor the cruise.

FULL CONFERENCE REGISTRATION:

Registrations received	Before June 5	After June 5
Member			US$550  _____	US$650  _____
Non-member		US$700  _____	US$900  _____
Student/Emeritus	US$100  _____	US$100  _____

WORKSHOP REGISTRATION ONLY: (Choose all you want to attend) 
Workshop registration includes lunch on day of workshop, but not banquet.
    ____ Workshop #1    ____ Workshop #2    ____ Workshop #3

                          TWO OR MORE WORKSHOPS
Registrations received 	Before June 5	After June 5
Member			US$250  _____	US$300  _____
Non-member		US$310  _____	US$375  _____

                          ONE WORKSHOP
Registrations received 	Before June 5	After June 5
Member	        	US$150  _____	US$200  _____
Non-member         	US$200  _____	US$250  _____


TUTORIAL REGISTRATION: (Choose 1 morning and/or 1 afternoon tutorial)
____ Tutorial #1    AM
____ Tutorial #2    AM
____ Tutorial #3    PM
____ Tutorial #4    PM
____ Tutorial #5    PM

                          FULL-DAY TUTORIAL PASSPORT (AM AND PM TUTORIALS)
                   Before June 5     After June 5
Member	           US$150  _____     US$200  _____
Non-member         US$200  _____     US$250  _____


                          HALF_DAY (1) TUTORIAL PASSPORT (1 TUTORIAL ONLY)
                   Before June 5     After June 5
Member             US$100  _____     US$150  _____
Non-member         US$130  _____     US$200  _____


PAYMENT INFORMATION:
Amount of Conference Registration:      ___________

Amount of Workshop Registration:        ___________

Amount of Tutorial Registration:        ___________

Additional Tickets for Dinner, 
    Entertainment, and NYC 
    Skyline Cruise 
    (Tuesday Night)   #___ @ $85 each = ___________


Total Amount Enclosed:                  ___________

Payment must be enclosed. Please make checks payable to IEEE Computer Society.
Payment must be in US dollars. Registrants are encouraged to use a Personal  Check or 
Company Check if possible.

METHOD OF PAYMENT: 
___ Personal Check # ________________
___ Company Check #________________
___ U.S. Federal Government Purchase Order #______________
___ Visa
___ MasterCard
___ American Express
___ Diner's Club

Credit Card Number: _______________________  Expiration date: ________

Card Holder Name: __________________________________

Signature:  _____________________________

Written requests for refunds must be received at the above address
no later than June 16, 2000. Refunds are subject to a $50 processing
fee. After June 16, 2000, 50% refunds may be issues.
Students are required to show current picture ID cards at the time
of registration.