ACM SPAA 2004 Registration

To qualify for early registration fees, your registration application
must be received by Monday June 7 (or postmarked by Monday May 31).
All regular registration fees include the Sunday night reception, the
Monday night business meeting, the Tuesday outing and banquet,
breakfasts, coffee breaks, lunches, and a copy of the proceedings.
Student registration fees include all of the above except the outing
and banquet.  Guests are welcome to attend the Sunday reception at no
charge.

Name:  ______________________________________________________________

Name for nametag if different: ______________________________________

Address: ____________________________________________________________

	 ____________________________________________________________

Phone: _________________________   E-mail: __________________________

Dietary preference: _________________________________________________

Affiliations: _______________________________________________________
(to appear on your name tag)    


Registration Fees (in US dollars): Please circle appropriate entry

	     Before/on June 7    After June 7    
 
ACM member:       $365               $415
Non-member:       $425               $480
Student:          $175               $215

Registration Fee: _____________________ 

ACM member number (if applicable): ______________________

Number of additional proceedings ($30 each): _____________________

Additional banquet tickets ($50 each): ___ Dietary preference(s) _______

Total: _____________________ 

If paying by credit card please complete the following.  You may fax
to +1 617-373-5121 or mail to the address given below.

Type of Card (Master Card, Visa, American Express): _________________

Credit Card #: __________________________ Expiration date: __________

Signature: __________________________________________________________

If paying by check, please make check payable to ACM/SPAA 2004 and
mail to:

       Rajmohan Rajaraman, SPAA 2004 Treasurer
       College of Computer & Information Science
       Northeastern University
       360 Huntington Avenue
       Room 202 WVH
       Boston, MA 02115