Registration Form

Static Analysis Symposium 2000

Santa Barbara, California
June 29--July 1, 2000

To register for the symposium, please complete this form and fax or mail it, with payment, to

    Static Analysis Symposium 2000 Registration
    Division of Continuing Education
    Kansas State University
    131 College Court Building
    Manhattan, KS, 66506-6015 USA
    FAX: +1-785-532-5637
    Phone: +1-785-532-5566 (Sorry, no phone registrations---use this number for questions only.)

You can also register electronically at this URL: https://www.dce.ksu.edu/cgi-bin/conf/sas2000.cgi.

Advance registration rates apply through Thursday, June 1, 2000. After June 1, late fees will apply. Registrations received before June 1 will be acknowledged by mail; late registrations will be acknowledged as time allows.


PERSONAL INFORMATION
Name as you wish it to appear on your nametag:

Salutation (Mr./Ms./Miss/Mrs./Dr./(none)): _____________

First Name:________________________________________

Middle Initial:__________________

Last/Family Name:__________________________________

Title:_____________________________________________

Department:_______________________________________

Company/Institution:_________________________________

Mailing Address:

Address:___________________________________________

                 ___________________________________________

City:____________________ State/Province: _____________

Zip/Postal code:_____________ Country:_________________

Phone: __________________ FAX:_____________________

E-mail:____________________________________________



Please check the appropriate boxes below.

REGISTRATION
Conference registration includes technical sessions, proceedings, refreshment breaks, reception dinner on June 29, and banquet on June 30.
[ ] Advance Registration (must be received by June 1) $290
[ ] Student Registration---does not include reception and banquet (must be received by June 1) $200
[ ] Late Registration (received June 2 or later) $365


ON-CAMPUS ACCOMMODATION
Reasonably priced, convenient accommodation is available on the University of California, Santa Barbara, campus. Accommodation includes meals served at the UCSB Dining Commons.
[ ] Single room, 3 nights (arrival June 29, departure July 2), includes 3 breakfasts, 2 lunches, and 1 dinner: $185
[ ] Single room, night of June 28, includes breakfast on June 29: $55

[ ] Double room for 2 people, 3 nights (arrival June 29, departure July 2) includes, for each person, 3 breakfasts, 2 lunches, and 1 dinner: $285
    (will share room with _______________________________________ )
[ ] Double room, night of June 28, includes, for each person, breakfast on June 29: $80

Gender: [ ] Male   [ ] Female (This information is required for on-campus accommodation.)

[ ] I am staying on-campus and bringing an automobile, so I will require a parking permit. (The permit is free with on-campus accommodation.)


OFF-CAMPUS ACCOMMODATION
If you prefer to stay off-campus, you must make your own hotel room reservations; see the Conference web page at http://www.cis.ksu.edu/santos/sas for suggestions.

If you wish to eat lunches on June 30 and July 1 with the SAS participants who are staying on campus, you may purchase lunches at the UCSB Dining Commons.

[ ] I am staying off-campus and bringing an automobile, so I will require a parking permit for June 29-July 1: $15



ADDITIONAL MEAL TICKETS
[ ] LICS/SAS buffet, the evening of June 28: $45 per person. Number of tickets desired:_______
[ ] Extra reception meal ticket, the evening of June 29: $35 per person. Number of tickets desired:_______
[ ] Extra banquet meal ticket, the evening of June 30: $45 per person. Number of tickets desired:_______



SPECIAL NEEDS
[ ] I request vegetarian meals (Due to guarantees which must be given in advance, changes cannot be permitted at the conference.)
[ ] I DO NOT want my name on the participant roster for this program.
[ ] I have special requirements due to disabilities or dietary restrictions: __________________________________________________



SUMMARY OF CHARGES
Conference registration            $________
On-campus accommodation  $________
Parking permit                             $________
Additional meal tickets             $________
Total charges                               $________


METHOD OF PAYMENT
[ ] payment enclosed---enclose a bank check drawn from a USA bank, made payable to "Kansas State University" (Note: If required for your tax records, the University's FEIN number is 48-0771751)

[ ] charge to credit card---complete the information below:

Credit card type: [ ] MasterCard     [ ] Visa

Card No.: ______________________ Exp. Date:__________

Name on Card:______________________________________

Signature: _________________________________________


[ ] electronic bank transfer---please send the amount of your registration plus a $20 processing charge. Use the following information to make the transfer:

Name of Bank: Commerce Bank
Address of Bank: Manhattan, Kansas
Bank number (routing number): 1011 00 540
Account number: 67 010 6232
Account name: KSU Continuing Ed.
Sort/Swift code: CBKCUS44