For more information, visit the SOSP-16 home page at http://sosp16.irisa.fr/ *** PERSONAL INFORMATION Please complete and mail (or fax) one form per attendee. Please, print clearly in CAPITAL LETTERS [ ]Ms [ ]Mr Title . . . . . . . . . . . . . Last (Family) Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . First name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Affiliation (to appear on the badge): . . . . . . . . . . . . . . . . . . . . . Mailing Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City/State: . . . . . . . . . . . . . Zip code: . . . . . . . Country: . . . . . Phone: . . . . . . . . . . . . . . . . . . . Fax : . . . . . . . . . . . . . . . Email : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ACM member number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Student[ ] certificate requested(*) SIGOPS member[ ] (*) Copy of the student card or certificate from a faculty member ________________________________________________________________________________ *** PARTICIPANT REGISTRATION FEE The conference registration fees below include conference attendance, hotel lodging Sun-Tues, all meals, coffee breaks, conference proceedings, and CD/ROM. |------------------------------------------------------------------------------| | | |Before September 12, 1997|After September 12, 1997| |------------------------------------------------------------------------------| | |Non-ACM member| FF 4 050 | FF 5 050 | | Conference |--------------|-------------------------|------------------------| |Registration| ACM member | FF 3 750 | FF 4 750 | | |--------------|-------------------------|------------------------| | | Student | FF 2 650 | FF 3 650 | |------------------------------------------------------------------------------| |Special Needs: (including: ADA Access, Non-smoking, Vegeterian, Kosher) | | | | | | | |------------------------------------------------------------------------------| Cancellation fee is FF 1 000 before September 12, 1997. After this date there will be no refunds. ________________________________________________________________________________ *** ROOM RESERVATION Accommodation for Sunday, Monday and Tuesday, in a twin room based upon double occupancy, is included with conference registration. [ ]Twin room Roommate request(*) : . . . . . . . . . . . . . . . . . . . . . [ ]Single room - + FF 665 for the 3 nights [ ]Double room - + FF 790 for the 3 nights (participant and an accompanying person not attending the symposium). I will arrive on __ October around __:__ and I will leave on __ October. Transportation: [ ]Train [ ]Plane [ ]Car (*)Both roommates must indicate their choice. If you choose a twin without mentioning a roommate, one will be automatically assigned. ____________________________________________________________________________________ *** ROOM RESERVATION (EXTRA CONGRESS NIGHTS) Arrangements have been made with hotels to have the special SOSP room rate available for up to 4 days prior to and 4 days after the conference. Please indicate below which additional days you would like to request.Your room reservation will be made according to the request by the Palais du Grand Large which will give you the address of your hotel. Please confirm the reservation of the extra-congress nights directly to the hotel. |-------------------------------------------------------| | W1 | Th2 | F3 | S4 | Su5 M6 T7 | W8 | Th9 | F10 | S11 | |-------------------------------------------------------| | | | | | SOSP 16 | | | | | |-------------------------------------------------------| The approximate rates for these additional days are listed below (check one) [ ]Single room (about FF 400 per night) [ ]Double room (one large bed) (about FF 225 per person, per night) [ ]Twin room (2 single beds) Roommate request : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ________________________________________________________________________________ *** REGISTRATION FEE PAYMENT Please include your payment along with the registration form. |REGISTRATION FEES | Price | |----------------------------------------------------------|------------| | Conference | _________FF| |----------------------------------------------------------|------------| | | | |ROOM UPGRADE(*) | | |----------------------------------------------------------|------------| | Single room surcharge (FF 665) |+_________FF| |----------------------------------------------------------|------------| | Double room surcharge (FF 790) |+_________FF| |----------------------------------------------------------|------------| |----------------------------------------------------------|------------| | TOTAL |__________FF| |----------------------------------------------------------|------------| [ ]By bank cheque wording in french francs drawn out of a french bank, ordered to SOSP/PGL Credit card [ ]VISA [ ]Master card Credit card number |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Expiration date |__|__| |__|__|__|__| Name on credit card : . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cardholder signature |------------------------------| | | | | | | |------------------------------| (*)For additional accommodation request, please send email to sosp16@irisa.fr Payment for room upgrades must accompany registration. Payment for extra-congress nights should NOT accompany registration. These charges will be billed directly by the hotel. ________________________________________________________________________________ *** MAILING ADDRESS Surface mail: Electronic and faxed registration: Palais du Grand Large Valerie ISSARNY SOSP 16 Fax: (+33) 2.99.84.71.71 1, quai Duguay Trouin email: sosp16@irisa.fr BP 109 F-35407 Saint-Malo France Credit card payment must be accompanied by a faxed authorization containing cardholder's signature. This form may be used.