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	REGISTRATION FORM
	Symposium on Internet Technologies and Systems (USITS'97)
	December 8-11, 1997
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Please complete this registration form and return it along with full 
payment to:

USENIX Conference Office		Phone: 714.588.8649
22672 Lambert St., Suite 613		Fax: 714.588.9706
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 OR 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 serve you better. By answering the following questions, you 
help us plan our activities to meet members' needs. 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   ( ) R&D

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
7.( ) SunWorld email	8.( ) NetscapeWorld email	9.( ) JavaWorld email

What publications or newsgroups do you read related to Internet technologies 
and systems? 
 
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TUTORIAL PROGRAM

Select one AM and one PM tutorial. Sorry, no half-day registration allowed.

MONDAY, DECEMBER 8
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HALF DAY Class AM
[ ] M1am Security on the World Wide Web
[ ] M2am Enhancing Performance on the World Wide Web

HALF DAY Class PM
[ ] M3pm Fault-Tolerance, High Availability, and Network Design in 
	 Today's Client-Server Environments
[ ] M4pm Java Security
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TUTORIAL PROGRAM FEES  (Monday, December 8)

Tutorial program for one day				$335.00	$ _________

CEU credits (optional)					$ 15.00	$ _________

Late fee if postmarked after Friday, Nov. 21...Add	$ 50.00	$ _________



TECHNICAL PROGRAM FEES  (Tues-Thurs, December 9-11)

Current member fee					$355.00	$ _________
 (Applies to individual members of USENIX, EurOpen 
  national groups, JUS, and AUUG)

Non-member fee*  					$425.00	$ _________
 *Join or renew your USENIX membership, AND attend 
 the conference for the same low price.	CHECK HERE [ ]

Late fee if postmarked after Friday, Nov 21, 1997..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 December 1, 1997. Telephone 
and email cancellations cannot be accepted. You may substitute another 
in your place. Call the conference office for details: 714.588.8649.
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