Registration form for ASIAN'99

Organizers
Keynote Address, Invited Talks
Preliminary program Updated

, Accommodation, Tours around Phuket
Registration

Note: to register to the 11^th Asian School on Computer Science (post ASIAN'99), please email directly to Dr Kanchana.

Participant information

Prof, Dr, Mr, Mrs, Miss

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

Registration fee

Early registrations for the conference must be completed by Nov 15, 1999.
Registrations after Nov 15, will be treated as on-site only.

Please note that all the rates are in US Dollars.

Late/On site (after Nov 15)
Non-student $400
Student $250

	Late/On site (after Nov 15)
	Non-student	$400
	Student	$250

Conference fees include conference attendance, refreshments at breaks, conference dinner and one copy of the proceedings. Student registration includes all of the above (proceedings is likely), except conference dinner. Student registrants must provide a copy of a valid student ID card or an official letter from their department.

Special meal requirements

Vegetarian, Muslim, Other (please specify):

Method of payment

Payments must be remitted in 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

ASIAN'99 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: asian99@cs.ait.ac.th

Phone: +66 2 524 5703

Fax: +66 2 524 6618

Cancellation

Written requests for refunds must be received by the registration chair no later than Nov 18, 1999. Refunds are subject to a $50 processing fee. All no-show registrations will be billed in full.

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

E-mail:	asian99@cs.ait.ac.th
Phone:	+66 2 524 5703
Fax:	+66 2 524 6618