REGISTRATION FORM - USENIX 1997 TECHNICAL CONFERENCE
January 6-10, 1997, Anaheim, California
Please complete the form below and return with full payment to:
USENIX CONFERENCE OFFICE
22672 Lambert St., Suite 613, Lake Forest, CA 92630
Telephone: (714) 588-8649 / FAX Number (714) 588-9706
Electronic Mail Address: conference@usenix.org
Office Hours: 8:30am - 5:00pm Pacific Time
NAME________________________________________________________________
(first) (last)
FIRST NAME FOR BADGE____________________________
USENIX Member ID____________________
COMPANY OR INSTITUTION______________________________________________
MAILING ADDRESS_____________________________________________________
(mail stop)
____________________________________________________________________
CITY___________________________STATE_____COUNTRY________ZIP____________
TELEPHONE NO:_________________________FAX NO._________________________
NETWORK ADDRESS______________________________________________________
(one only please)
The address you provide will be used for all future USENIX
mailings unless you notify us in writing.
ATTENDEE PROFILE
Please help us serve you better. By answering the following
questions, you help us plan our activities to meet members'
needs. All information is confidential.
[ ] I do not want to be on the attendee list
[ ] I do not want my address made available for other than USENIX
mailings
[ ] I do not want USENIX to email me notices of Association activities.
What is your affiliation? [ ]academic [ ]commercial [ ]gov't [ ]R&D
What is your role in purchase decision?
1.[] final 2.[] specify 3.[] recommend 4.[] influence 5.[] no role
What is your job function? (check one)
1.[] system/network administrator 2.[] consultant
3.[] academic/research 4.[] developer/programmer/architect
5.[] system engineer 6.[] technical manager 7.[] student
8.[] security 9.[] webmaster
How did you hear about this meeting:
1.[] USENIX brochure 2.[] newsgroup/bulletin board 3.[] ;login:
4.[] World Wide Web 6.[] from a colleague 7.[] magazine
What publications or newgroups do you read releated to advanced
computing systems?_____________________________________________
=================================================================
TUTORIAL PROGRAM
Select only one full-day tutorial per day - 9:00am-5:00pm
Monday, January 6, 1997
========================
[ ] M1: Beginning Perl Programming
[ ] M2: Kerberos Approach to Network Security
[ ] M3: Introduction to Java
[ ] M4: Secure Java Programming
[ ] M5: Windows NT and Windows 95
[ ] M6: UNIX Network Programming
[ ] M7: Topics in System Administration
[ ] M8: How Networks Work
[ ] M9: System and Network Performance Tuning
[ ] M10: Inside the Linux 2.0 Kernel
Second Choice of first is filled:____________________________
Tuesday, January 7, 1997
=========================
[ ] T1: UNIX Security Tools
[ ] T2: CGI and WWW Programming in Perl
[ ] T3: Security on the Web
[ ] T4: Creating Effective User Interfaces
[ ] T5: Java Applets and the AWT
[ ] T6: Setting Up and Administering a Web Server
[ ] T7: Security for Software Developers
[ ] T8: Solaris System Administration
[ ] T9: IP version 6
[ ] T10: Writing Device Drivers Under Linux
Second Choice of first is filled:____________________________
TUTORIAL PROGRAM FEES (January 6-7)
Two full-day tutorials.................$620 $_________
CEU credit (optional)..................$ 30 $_________
One full-day tutorial..................$335 $_________
CEU credit (optional)..................$ 15 $_________
Late fee applies if postmarked after
Friday, November 22, 1996........Add $ 50 $_________
Full-Time Students (see info above on how to
obtain code)
CODE NO:______________________ $ 70 $_________
CODE NO:______________________ $ 70 $_________
TECHNICAL SESSION FEES
Current Member Fee.....................$340 $________
(Applies to current USENIX, EurOpen national
groups, JUS and AUUG, and Linux Int'l members)
Non-Member or Renewing Member Fee**....$410 $________
**Join or renew your USENIX membership
and attend the conference for same low price
-Check here [ ]
Join or renew your SAGE membership...Add $ 25 $_________
(You must be a member of USENIX)
Late fee applies if postmarked after
Friday, November 22, 1996..........Add $ 50 $_________
Full-Time Student Fee*: pre-registered
or on-site......$ 75 $_________
Full-Time Student Fee* including USENIX
membership fee......$100 $_________
*Students must include photocopy of current
student I.D.
TOTAL ENCLOSED...................$_________
PAYMENT MUST ACCOMPANY THIS FORM.
Payment in US Dollars must accompany this form. Purchase orders,
vouchers, telephone or email registrations cannot be accepted.
[ ] Payment Enclosed (Make check payable to USENIX Conference)
CHARGE TO MY: ___VISA ___MASTERCARD ___AMERICAN EXPRESS ___DINERS CLUB
ACCOUNT NO.______________________________________ EXP. DATE___________
_______________________________________/___________________________
Print Cardholder's Name Cardholder's Signature
You may fax your registration form if paying by credit card to
USENIX Conference Office, fax: 714-588-9706. (To avoid duplicate
billing, please DO NOT mail an additional copy.)
REFUND CANCELLATION POLICY: If you must cancel, all refund requests
must be in writing and postmarked no later than December 27, 1996.
Telephone cancellations cannot be accepted. You may telephone to
substitute another in your place.