HICSS-37 CONFERENCE REGISTRATION
JANUARY 5-8, 2004
Hilton Waikoloa
Village
on the Big Island of Hawaii
Last
Name: ญญญญญญญ
First
Name: ญญญญญญญญ
o Author: File Name
Code of paper(s): o General participant
o Minitrack Chair: Minitrack code(s):
o Tutorial Presenter -
Name of Tutorial:
# of Years attending HICSS (including
this year for HICSS-37):
Last Name Corporate or Academic Affiliation State or Country
FIRST NAME
PLEASE PRINT
CLEARLY
FOR YOUR
NAMETAG
Employer: ญญญญญญ Department:
Street / P.O. Box:
City and / or
Province:
State
and Country & Zip Code
Home address or
Professional address
Telephone: / Fax: /
E-Mail Address: ญญญญญญญญ
Website:
HICSS-37 Page
1 of 2
HICSS-37 CONFERENCE REGISTRATION
FORM Page 2 of 2
YOUR NAME: ญญญญญญญญ
(Please type or print clearly)
*********************************************** PAYMENT INFORMATION ************************************************
CANCELLATION
POLICY: 100% refund until
EARLY REGISTRATION Wednesday October 1 * $495
REGULAR REGISTRATION Thursday Oct 2 - Wednesday Dec 10* $545
LATE/On-Site
REGISTRATION Thursday
Dec 11* - Thursday Jan 8 $650
*Postmarked Date
o_ Visa
or _o Mastercard These are the only credit cards
accepted.
Card Number Exp
Date: /
month year
Name
as it appears on credit card account:
Signature of Cardholder:
|
TUTORIALS ARE INCLUDED
IN YOUR REGISTRATION FEE **************************************************************************************************************************************** TUTORIAL DAY |
See your Advance Program Announcement and the HICSS web
site for tutorial abstracts and bio information about speakers.
Please mark your choice.
You may choose one Morning and/or one Afternoon session.