ICSE-17 Registration Complete this form and mail to Faith Perry, ICSE-17 Registration c/o Pegasus Systems 125 Beechwood Rd. Summit, NJ 07901 USA (fax) +1 908.582.7550 Name________________________________________ Affiliation_________________________________ Address_____________________________________ ____________________________________________ ____________________________________________ Phone________________ Fax__________________ E-mail______________________________________ ACM or IEEE Membership No.__________________ __Kosher __Vegetarian Special needs:______________________________ -------------------------------------- __ICSE-17 Conference Registration fee includes receptions, refreshments at breaks and a copy of the proceedings -------------------------------------- ICSE-17 Tutorials (check zero or one blank for each day) Monday Tuesday __M1 __T1 __M2 __T2 __M3 __T3 __M4a & M4p __T4a & T4p __M4a & M5p __T4a & T5p __M5a & M4p __T5a & T4p __M5a & M5p __T5a & T5p Lunch and refreshments at breaks included on each day registered -------------------------------------- ICSE-17 Workshops (check if invited & attending) __Architectures for Software Systems __Program Transformation for Software Evolution __Formal Methods Application in Software Engineering Practice __Research Issues in Software Engineering & Programming Languages __Software Configuration Management (SCM5) Registration fee includes lunches and refreshments at breaks -------------------------------------- Co-Located Events __Workshop on Asian Approaches to Software Engineering (check if invited & attending) __The Software Engineering Education Workshop (check if invited & attending) __Symposium on Software Reusability (SSR '95) __SSR '95 Tutorial; specify topic if known:__________________ -------------------------------------- __ACM SIGSOFT Membership Join ACM SIGSOFT and register at the SIGSOFT member rates -------------------------------------- Fee Schedule (in US Dollars) Advance registration through 2 April 1995 No refunds given after 9 April 1995 Advance Late ICSE-17 Conference: ACM/SIGSOFT/IEEE Comp. Soc. Member $350 $425 Non-member $425 $500 Full-Time Student $150 $200 ICSE-17 Tutorials (per day): ACM/SIGSOFT/IEEE Comp. Soc. Member $250 $325 Non-member $300 $375 Full-Time Student $125 $175 ICSE-17 Workshops (all attendees): $225 $225 Workshop on Asian Approaches to Software Engineering (all attendees): $150 $150 Software Engineering Education Workshop: IEEE Computer Society Member $125 $125 Non-member $150 $150 SSR '95 Symposium: ACM/SIGSOFT Member $250 $280 Non-member $275 $310 Full-Time Student $125 $150 SSR '95 Tutorials: ACM/SIGSOFT Member $140 $170 Non-member $170 $200 Full-Time Student $100 $130 ACM SIGSOFT Membership: $50 $50 Payment Computation ICSE-17 A. Conference _______ B. Tutorials _______ C. Workshops _______ D. Adjustment _______ (at most one of the following) $50 if attending the conf. & two days of tutorials $25 if attending two days of tutorials $25 if attending the conf. & one day of tutorials $25 if attending the conf. & an ICSE-17 Workshop 1. ICSE-17 Subtotal (A + B + C - D) _______ 2. Workshop on Asian Approaches to SW Eng. _______ 3. The SW Engineering Education Workshop _______ 4. SSR '95 Symposium _______ 5. SSR '95 Tutorial _______ 6. ACM SIGSOFT Membership _______ GRAND TOTAL (1 + 2 + 3 + 4 + 5 + 6) _______ Payment must be made in US Dollars by check, money order, VISA or MasterCard. No purchase orders or foreign currencies will be accepted. If paying by check or money order, make check payable to ICSE-17. If paying by VISA or MasterCard, complete the following information: Card No.____________________ Expires_______ Signature___________________________________