2006 International Conference on Distributed Multimedia Systems
August 30 - September 1, 2006
Grand Canyon Best Western Squire Inn
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DMS'06 REGISTRATION FORM: AUG 30, 2006 TO SEPT 1, 2006
PLEASE TYPE, OR PRINT IN BLOCK LETTERS
If information you provide is not legible we cannot process your registration!
______________________________________________________________________________
| NAME: |
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| BUSINESS ADDRESS: |
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| PHONE: FAX: E_MAIL: |
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| HOME ADDRESS: |
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| HOME PHONE: |
|____________________________________________________________________________|
|____________________________________________________________________________|
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| Please check | Before June 5, 2006 | After June 5, 2006 |
|___________________________|__________________________|_____________________|
| | Regular | | |
| | registration* | $545 | $645 |
|___|_______________________|__________________________|_____________________|
| | Student | | |
| | registration** | $365 | $445 |
| | (You must mail or fax your student ID card to verify student status) |
|___|_______________________|__________________________|_____________________|
| |Spec. 1-yr Subscription| $80 | $80 |
| |IJSEKE journal 6 issues| | |
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| |Extra copy proceedings | $65 | $65 |
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| |First extra page *** | $100 | $100 |
|___|_______________________|__________________________|_____________________|
| |Second extra page *** | $150 | $150 |
|___|_______________________|__________________________|_____________________|
| |Mail proceedings by | | |
| |( )inside US book rate | $10 | $10 |
| |( )inside US priority | $18 | $18 |
| |( )int'l sea mail(3 mo)| $28 | $28 |
| |( )int'l airmail(5-9 d)| $45 | $45 |
| |Please provide home address so that proceedings will not be lost in mail|
| |(Don't pay mailing fee if you can pick up proceedings when you register)|
|___|_______________________|__________________________|_____________________|
| | Extra banquet ticket | $50 | $50 |
| | for spouse or friend | | |
|___|_______________________|__________________________|_____________________|
| | Extra reception ticket| $35 | $35 |
| | for spouse or friend | | |
|___|_______________________|__________________________|_____________________|
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| TOTAL: USD ______________ |
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| ( ) Charge to my credit card (ONLY VISA or MASTER CARD accepted) |
| ( ) VISA card number: ___________________________ |
| ( ) MASTER card number: _________________________ |
| Full name as appeared on the card: ____________________(please print)|
| Expiration date: (month) _____ (day) _____ (year) _____ |
| Card holder's signature: _________________________ |
| If you want to dispute credit card charge please contact dms@ksi.edu first |
| |
| ( ) I will pay by check |
| Please make checks payable to DMS'06, and send them to |
| |
| DMS'06 |
| Knowledge Systems Institute |
| 3420 Main Street Tel: +1-847-679-3135 |
| Skokie, IL 60076 Fax: +1-847-679-3166 |
| USA E-mail: dms@ksi.edu |
| |
| (Returned, unpaid checks or disputed, invalid, unpaid credit card payments |
| will be assessed a $25 processing fee.) |
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| For my presentation I will use ( ) overhead transparency projector |
| ( ) computer projector |
| (please select one of the above options for your presentation needs) |
|____________________________________________________________________________|
|*For an accepted paper to appear in the proceedings, at least one author |
| must register. Separate registrations are required for separate papers. |
| Therefore, if an author has two accepted papers, one of the co-authors must|
| register for the second paper. Registration fee includes the proceedings, |
| all coffee breaks, the reception and the conference banquet. Extra banquet |
| ticket or extra copy of proceedings can be purchased using this registra- |
| form. Other meals can be purchased at the conference site. They are not |
| included in the registration fee. Registration must be accompanied by |
| payment. Just mailing this form does not constitute registration. |
| |
|**Student registration does not include proceedings and banquet. |
| A registered student can attend the DMS conference, all workshops and |
| coffee breaks. Banquet tickets and proceedings may be ordered for an extra |
| charge by using this form. |
| |
|***Regular papers are limited to SIX pages, and short papers are limited |
| to FOUR pages. Authors may use this form to pay for TWO EXTRA pages. |
| |
|#Authors unable to attend the conference must arrange for a co-author or a |
| colleague to present the paper and notify the conference secreariat before |
| May 15, 2006. Registered authors not attending the conference must pay the|
| mailing fee for the proceedings or arrange for a colleague to pick up the |
| proceedings at the conference. Registration fee is nonrefundable. |
| |
|##International authors may request an official invitation letter from the |
| conference secretariat. Please provide fax number of US consolate in your |
| country and submit visa application two months prior to conference. |
| |
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