--------------------------------------- SIGIR'95 REGISTRATION FORM --------------------------------------- 18TH INTERNATIONAL CONFERENCE ON RESEARCH AND DEVELOPMENT IN INFORMATION RETRIEVAL Seattle, July 9 - July 13 Please use block letters or type, and tick where appropriate __ Mr. __ Ms. __ Dr. __ Prof. Other: ______ LAST NAME:________________ FIRST NAME:_______________________ BADGE NAME (if different): __________________________________ COMPANY/ORGANIZATION:________________________________________ ADDRESS:_____________________________________________________ CITY:__________________ STATE:______ ZIP CODE: __________ COUNTRY:_______________ PHONE: ( ___ )____________________ FAX: ( ___ ) _______________ EMAIL: ________________________ __ Check if this will be your first SIGIR conference CONFERENCE REGISTRATION: FEES: __ ACM Member __ Nonmember __ Student __ One Day Registration: M T W (please circle one) REGISTRATION: $ ________________ Membership: __ ACM __ SIGIR MEMBERSHIP: $_________________ Tutorials: AM: __ Intro __ Query __ Statistics PM: __ Eval __ Design __ Fusion TUTORIALS: $ ________________ Workshops: __ VIRI __ Z39.50 __ IR & DB __ Curriculum __ Hypermedia WORKSHOPS: $ ________________ Special Events: Additional banquet tickets (how many): ___ For (Names): ________________________ BANQUET: $ _______________ Mount Rainier Tour (how many):___ Tillicum Village Tour (how many): ___ Victoria, BC Tour (how many): ___ TOURS: $_________________ TOTAL $ ________________ DO YOU HAVE ANY SPECIAL NEEDS? Please explain: ___________________________________________________________ METHOD OF PAYMENT (US Currency only): __ Check payable to ACM/SIGIR95 __ Credit card (Visa, MC, AMEX) ____________________________________ Credit card number, expiration date ______________________________________ Signature, date (I authorize to charge my account fees indicated above) Return Registration Form by May 29 to qualify for early registration. Use fax or email (credit card payment) or mail (check or credit card) to: SIGIR95 c/o Convention Services Northwest 1809 Seventh Avenue, Suite 1414 Seattle, WA 98101 USA Fax: +1 206-292-0559 Email: SIGIR95@aol.com (Registration queries to: +1 206-292-9198 (Ask for Sarah Amendola)