Please mail or fax this form to:

HLDVT'01
5305 Spine Rd., Ste. A
Boulder, CO 80301 USA
Tel: (303) 530-4562   Fax: (303) 530-4334

First Name _____________________ Last Name ________________________

Company ________________________ Mail Stop ________________________

Street Address_____________________________________________________

City ___________State__________Zip ________ Country _______________

Phone _________________________Fax ________________________________

Email ________________________

IEEE Member# ________________________

Dietary Requirements Vegetarian_____Other_____

ADVANCE REGISTRATION  (Postmarked by October 22, 2001)
IEEE Member   Non-Member   IEEE Student Member
   $425          $535             $250

LATE REGISTRATION  (After October 22, 2001)
IEEE Member   Non-Member   IEEE Student Member
   $525          $660             $300

Additional meal charges for companion @ $150 ____ TOTAL FEES _______

Send full payment in U.S. dollars with this form. Use a check drawn on
a US bank or a major credit card. For payments from non-U.S. banks the
attendee will be charged a collection fee of US$30.00. Purchase orders
are not accepted.

Make checks payable to IEEE HLDVT'01. Use your credit card if
registering by fax.

check_____ Visa_____ Mastercard_____ American Express_____

Card # ______________________________________Exp. date____________

Name(as it appears on card) ____________________________________________

Signature__________________________________________

REFUNDS: Requests for refunds received before October 22, 2001 will be
subjected to a $50 processing fee. No refunds will be made for
cancellations received after October 22, 2001 and all registration
fees will be forfeited. Attendance is limited. Register early to avoid
disappointment. No registrations will be accepted after October 29, 2001,
in the HLDVT office. After October 29, 2001, there will be on-site
registration only.

HLDVT'01 HOTEL REGISTRATION FORM (printer friendly)

Register before Tuesday, October 15, 2001 for the HLDVT'01 Workshop
rate of US$139 (single) or US$149 (double). Hotel space is limited.
Please register before October 15, 2001 to avoid disappointment.

Mail or fax this form to:

Hilton Monterey
1000 Aguajito Road
Monterey, CA 93940

Tel: 800-HILTONS, 831-373-6141
Fax: 831-655-8608

Website http://www.hilton.com

First Name _____________________ Last Name ________________________

Company ________________________ Mail Stop ________________________

Street Address_____________________________________________________

City ___________State__________Zip ________ Country _______________

Phone _________________________Fax ________________________________
 

Hotel Rates:
single @ US$139 ____
double @ US$149 ____

Arrival Date__________________ Departure Date _____________________

Your reservation can be guaranteed by credit card. Your credit card
will be billed for first night's deposit.

check_____ Visa_____ Mastercard_____ American Express_____

Card # ______________________________________Exp. date____________

Name(as it appears on card) ______________________________________

Signature__________________________________________