ISER '00 Registration Form


Print and mail or fax for each participant by Dec 5, 2000 to:

ISER '00 International Symposium On Experimental Robotics
Attn: Dot Marsh
Robotics Institute
Carnegie Mellon University
Pittsburgh, Pennsylvania, USA 15213

VOX: 412 268 6556

FAX: 412 268 1338
dot@frc.ri.cmu.edu

(please print or type)


__ Dr. __Mr. __Ms.

First:______________________M.I.:_____Last:_____________________________

Institution Name:______________________________________________________
 

Mailing Address:_______________________________________________________

City:_________________State:_____Zip Code:_________Country:_____________

Phone:__________________Fax:_______________E-Mail:____________________
 
Pre-Registration Fee (by Nov 17) $425...
$_________
Late Registration Fee .................................... $475...
$_________
Full Time College Student Registration (*).............. $250...
$_________
Extra Banquet Ticket............................. $50...
__ $_________
TOTAL ENCLOSED..................................... .........
$_________


Please choose entree for banquet
Chicken............
________
Seafood............
________
Vegetarian.........
________


(*) Student registration doesn't include the final proceedings (preprints provided at the Symposium) or the Banquet.
Any unused banquet tickets will be available for students.
 
 
If you wish to use VISA or MASTERCARD for all fees, proceedings, or special events, please fill out the form below.
Hotel reservations are to be made directly by the participant.

__VISA __MASTERCARD

CARD#__________________________________Expiration Date:___________

Credit Card Signature:________________________________Date:__________
 

Payment Policy:
_____________________________
All payments Must be in US Dollars with Foreign Exchange Fees Added for Non-US Banks.

A Copy of this Registration Form Must Also Accompany All Checks

Make Checks Payable to: Dartmouth University / ISER '00

PURCHASE ORDERS DO NOT CONSTITUTE PAYMENT
 

Cancellation Policy:
_____________________________
PAID Pre-registration Subject to Cancellation Fee:

Before Dec1, 2000 - $50.00
After Dec 1, 2000 - No Refunds