Registration form for $CONF_NAME\n"; ?>

/user_reg>

Participant information

Prof, Dr, Mr, Mrs, Miss

First name:
Last name:
Position:
Affiliation:
Address:
City:
State/Province:
Zip code:
Country:
Daytime phone:
Fax:
email:

Registration fee

Registrations for the conference must be completed by .

Please note that all the rates are in US Dollars.

Full registration: $200.

\n"; // print "Advanced (until $short_date) Late/On site (after $short_date)\n"; // print " Non-student \$200 Non-student \$400\n"; // print " Student \$200 Student \$250\n"; // print "\n"; //} //else { // print "\n"; // print "
Late/On site (after $short_date)\n"; // print "
Non-student \$400\n"; // print "
Student \$250\n"; // print "
\n"; //} ?> Workshop fees include whorkshop attendance, refreshments at breaks, and one copy of the printed material.

	Late/On site (after $short_date)\n"; // print "
	Non-student	\$400\n"; // print "
	Student	\$250\n"; // print "

Special meal requirements

Vegetarian, Muslim, Other (please specify):

Accommodation

You will take care of your accommodation by yourself.

or you wish to stay at AIT Conference Center, the hotel on AIT campus:

Accommodation in AIT Conference Center

Single Double

Standard 1,000 B 1,250 B

Superior 1,300 B 1,600 B

Accommodation in AIT Conference Center
	Single	Double
Standard	1,000 B	1,250 B
Superior	1,300 B	1,600 B

These prices are in Thai Baht and include charge and American breakfast. Hotel expenses have to be cleared at the hotel front desk only.

Note: If you intend to share a room with another participant, please make only one reservation.

For your convenience, you can contact AIT Conference Center hotel at:
Tel: +66 2524 5266, Fax: +66 2524 5207

To complete the room reservation at AIT Conference Center, please filll in:

Arrival Date: (format dd/mm/yyy)

Departure Date: (format dd/mm/yyy)

Method of payment

Payments must be remitted in US Dollars only.

In case you have difficulties to issue a draft in US Dollars, you may send a draft in a major currency, but please add $20 (or equivalent) to cover exchange rates and bank charges. Please note this is the least preferable option.

Check and draft are to be made to the name of Asian Institute of Technology.

Bank check (in US Dollar only)
Bank: Check #:
Bank draft (in US Dollar only)
Bank: Draft #:
Visa/Mastercard/Amex cerdit card. You will enter credit card information after you click on the submit button below.

Registration chair

Registration,
C/O Dr. Kanchana Kanchanasut
Computer Science and Information Management Program
Asian Institute of Technology
Km 42 Paholyothin Highway,
Klong Luang, Pathumthani 12120
THAILAND

E-mail: yoo@cs.ait.ac.th
Phone: +66 2 524 5703
Fax: +66 2 524 6619

Cancellation

Written requests for refunds must be received by the registration chair no later than May 3,2003. Refunds are subject to a $50 processing fee. All no-show registrations will be billed in full.

Process this form

Information in this form are now to be proccessed.

this form.
the form and retry.

Arrival Date:	(format dd/mm/yyy)
Departure Date:	(format dd/mm/yyy)

Bank check (in US Dollar only)
Bank:		Check #:
Bank draft (in US Dollar only)
Bank:		Draft #:

E-mail:	yoo@cs.ait.ac.th
Phone:	+66 2 524 5703
Fax:	+66 2 524 6619