WWW
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REGISTRATION FORM
3rd USENIX Workshop on Electronic Commerce, August 31-Sept 3, 1998
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Please complete this registration form and return it along with full
payment to:
USENIX Conference Office Phone: 949.588.8649
22672 Lambert St., Suite 613 Fax: 949.588.9706
Lake Forest, CA USA 92630
You may fax your registration form if paying by credit card. To avoid
duplicate billing, please do not mail an additional copy.
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NAME____________________________________________________________________
(first) (last)
FIRST NAME FOR BADGE___________________________USENIX Member ID_________
COMPANY/INSTITUTION_____________________________________________________
MAILING ADDRESS_____________________________________________________
(mail stop)
_______________________________________________________________________
CITY___________________________STATE_____ZIP__________COUNTRY____________
TELEPHONE NO:____________________________FAX NO._________________________
EMAIL ADDRESS______________________________________________________
The address you provide will be used for all future USENIX mailings
unless you notify us in writing.
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ATTENDEE PROFILE
Please help us meet your needs by answering the following questions.
All information is confidential.
[ ] I do not want to be on the Attendee list.
[ ] I do not want my address made available except for USENIX mailings.
[ ] I do not want USENIX to email me notices of Association activities.
What is your affiliation (check one):
( ) academic ( ) commercial ( ) gov't ( ) research and development
What is your role in the purchase decision (check one):
1.( ) final 2.( ) specify 3.( ) recommend 4.( ) influence 5.( ) no role
What is your primary job function (check one):
1.( ) system/network administrator 2.( ) consultant
3.( ) academic/research 4.( ) developer/programmer/architect
5.( ) system engineer 6.( ) technical manager 7.( ) student
8.( ) security 9.( ) webmaster
How did you first hear about this meeting (check one):
1.( ) USENIX brochure 2.( ) newsgroup/bulletin board 3.( ) ;login:
4.( ) World Wide Web 5.( ) from a colleague 6.( ) magazine
What publications or newsgroups do you read related to Electronic commerce?
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TUTORIAL PROGRAM (August 31, 1998)
Select one AM and one PM Tutorial. Half-day registration is not available.
AM Tutorials (9:00am - 12:30pm)
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[ ] M1am Smart Cards
[ ] M2am Using Cryptography
[ ] M3am Setting up and Maintaining a Secure Web Server
PM Tutorials (1:30pm - 5:00pm)
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[ ] M4pm The Law of Electronic Commerce - Contracts, Records, and Privacy
[ ] M5pm Cryptography for the Internet
[ ] M6pm Electronic Payment Systems
TUTORIAL PROGRAM FEES (August 31, 1998)
One-day Tutorial Program Fee $345.00 $ _________
CEU credit (optional) $ 15.00 $ _________
Late fee if postmarked after Monday, August 10......Add $ 50.00 $ _________
TECHNICAL SESSION FEES (September 1-3, 1998)
Current member fee $355.00 $ _________
(Applies to individual members of USENIX, EurOpen
national groups, JUS, and AUUG)
Non-member or Renewing Member fee* $425.00 $ _________
*Join or renew your USENIX membership, AND attend
the workshop for the same low price. CHECK HERE [ ]
Late fee if postmarked after Monday, August 10......Add $ 50.00 $ _________
Full-time student** fee, pre-registered or on-site $ 75.00 $ _________
Full-time student** fee including USENIX membership $100.00 $ _________
**Students: Attach a photocopy of current student ID
TOTAL DUE $ _________
Payment (U.S. dollars only) must accompany this form. Purchase orders,
vouchers, email, and telephone registrations cannot be accepted.
[ ] Payment enclosed. Make check payable to USENIX Conference.
Charge to my: ___VISA ___MasterCard ___American Express ___Discover
Account No. ____________________________________ Exp. Date ___/___
___________________________________/_________________________________
Print Cardholder's Name Cardholder's Signature
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REFUND/CANCELLATION POLICY
If you must cancel, all refund requests must be in writing, with
your signature, and postmarked no later than August 21, 1998.
Telephone cancellations cannot be accepted. You may substitute
another in your place. Call the Conference Office for details:
949.588.8649
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