Fourth International Symposium on
Advanced Research in Asynchronous Circuits and Systems
ASYNC'98
http://paradise.ucsd.edu/async98/
March 30-April 2, 1998
Catamaran Resort Hotel
San Diego, California
REGISTRATION FORM

 
Three Ways to Register:
1. Register electronically.
2. Fax this form to 1-619-534-0415.
3. Mail this registration form to the contact listed below.

Please fill out the form below and then click on "Submit Registration Form". You will receive an e-mail confirmation. Alternatively, you can print this form and send the appropriate information by mail or fax to Patricia Campbell (see contact information below).

Please register even if you intend to pay at the conference so that we can anticipate attendance. Questions can be forwarded to async98@paradise.ucsd.edu

Full conference registration includes all conference sessions, conference proceedings, off-site industry tour, four continental breakfasts, two luncheons, morning and afternoon coffee breaks, welcome reception, Tuesday night dinner, and Wednesday night banquet.


ATTENDEE INFORMATION
Name:
Affiliation:
Mailing Address:
Phone Number:
Fax Number:
E-mail Address:
Special Needs:


PAYMENT INFORMATION
  Advance: Late:
  By March 8 After March 8
ACM/IEEE Member $335 $400
Non-ACM/IEEE Member $435 $535
Student Registration $160 $180
Additional guest(s) for Wednesday night banquet: How Many?
($50 per person)
ACM/IEEE Membership Number:


PAYMENT METHOD

Credit card option
Visa Master Card
Cardholder Name:
Credit Card Number:
Expiration Date:

 Warning: This is not a secure transmission. Feel free to fax your credit card information.

I will be faxing my card number. I understand that in order to receive the lower advance registration fee, I need to provide this information by March 8.

Check drawn in US Dollars on US banks and made payable to ASYNC'98

Pay Late Registration Fee at the conference

 If I cancel my registration after March 15, I agree to pay the entire bill.


CONTACT INFORMATION

If you are not registering electronically, completed registration form and payment should be sent to:

Patricia Campbell
University of California, San Diego
ECE Department, mail code 0407
9500 Gilman Drive
La Jolla, CA 92093-0407 USA

Phone: 1-619-822-1138
Fax: 1-619-534-0415
E-mail: campbell@paradise.ucsd.edu