CSEET-03  Conference Registration
16th Conference on Software Engineering Education and Training
March 20 – 22, 2003  Madrid, Spain   Crowne Plaza Hotel
           
Personal Information 

   Dr.      Prof.      Mr.      Ms. 

Last/Family Name:   __________________________ First Name:  _______________________Middle Initial: ______

Organization: ____________________________________________________________________________________

Organization Type     University/College		 Computer Industry    	   Government Laboratory   
           Military			 Government Agency    	    Non-Profit Corporation   
            Independent Consulting	  Non-Profit Research Ctr.	    Private Research Ctr.
           Other ________________________________________________ 

Mailing Address
 
Address:   _______________________________________________________________________________________

City: _________________________  State:  __________________  ZIP:  ______________ Country: ______________

 Telephone: __________________________ Fax: ________________________   Email: ________________________

 Do not include my name; mailing/email address, phone or fax numbers on the attendee list. 
 Do not include my name; mailing/email address, phone or fax numbers on a non-society mailing list. 

Membership Information
Check if you are a member of: 

  IEEE/Computer Society          Member Number: _________________________
  ACM                                        Member Number: _________________________
                       
  Non-member    Full-time student (must show valid ID at the conference)

Conference Registration
Conference registration includes technical sessions, proceedings, conference reception and conference dinner (includes flamenco show).
Conference Registration for students includes technical sessions, conference proceedings, but no social event tickets. 

Register me for the Conference

Before or on January 31, 2003:
  Early, Member $400   Early, Non-Member $490     Early, Fulltime Student $200

After January 31, 2003:
  Late, Member $470    Late, Non-Member $580       Late, Fulltime Student $200

CSEE&T Tutorial Registration
Tutorial registration includes attendance at a tutorial and one copy of the tutorial notes. Participation is limited to 30 registrants. Please note that tutorials are NOT included in the conference registration fee. 

Register me for the following tutorials:

 Tutorial 1, Saturday afternoon 3 hours, Managing the Performance of Software Engineering Professionals 
 Member $55   Non-Member $65   Fulltime Student $30 

 Tutorial 2, Saturday afternoon 3 hours, Training Experts in the Fundamentals
 Member $55    Non-Member $65   Fulltime Student $30 

Additional Conference Dinner and Flamenco Show Tickets

  I wish to purchase  ____additional conference dinner and flamenco show tickets for $95 each. Total: _______

PAYMENT INFORMATION
You may pay for your registration by check or credit card, or you can request that your organization be sent a bill for your registration fee. 

Total Amount Due:  __________________________________

Payment Method (check one):  Check       Credit Card:    Visa       MasterCard       American Express

Card Number:  _________________________________________  Expiration Date:  ______________________

Name on Card:  ______________________________________________________________________________
                                                      
 Cardholders Signature: ________________________________________________________________________
                                                      
  Bill Your Organization:  Please include additional contact information for your organization. If left blank, the bill for your registration will be sent directly to you. 

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

Choose one of the following three options to register:
1.	Print this form and fax it with your payment information to (+1) 770/528-3576. 
2.	Mail to Dawn Ramsey, SPSU Extended University, 1100 South Marietta Parkway, Marietta, GA 30060. Please make checks payable to "CSEET’03." 
3.	Call Dawn Ramsey at (+1) 770/528-4287.