REGISTRATION FORM 51st Internet Engineering Task Force - Page 1 of 2 5-10 August 2001 London, England Please complete in print or type: Name (Mr/Dr/Ms)__________________________________________________________ Organization_____________________________________________________________ Address (line 1)_________________________________________________________ (line 2)_________________________________________________________________ City_____________________________State_____________Postal Code___________ Country__________________________________________________________________ Telephone______________________________Fax_______________________________ Email____________________________________________________________________ Do you plan to attend the Newcomer's Orientation on Sunday, 5 August 1530? YES___ NO___ Do you plan to attend the Reception on Sunday, 5 August 1700? YES___ NO___ The IETF Proceedings will be available electronically. Would you like to purchase a Hard Copy for an additional USD$85.00? YES___ NO ___ Would you like to purchase a CD-ROM Copy for an additional USD$10.00? YES___ NO___ Are you a full-time student (student ID required at check-in)? YES___ NO___ The following three payment options are currently available to you when registering manually: 1) E-mail this page with the requested payment information using PGP to: ietf-registrar@ietf.org (to download PGP go to http://web.mit.edu/network/pgp.html) 2) Print and fax this page with the requested payment information to: +1-703-620-9071 in the USA 3) Print and mail this page with the requested payment information to: IETF Meeting c/o Foretec Seminars, Inc. 1895 Preston White Drive, Suite 100 Reston, VA 20191-5434 USA Please indicate method of payment: ___AMEX ___VISA ___MC ___Check If check: in U.S. dollars, drawn on a U.S. Bank, payable to: IETF Meeting If credit card: Account Number:____________________________ Expiration Date:__________________ Cardholder Name__________________________________________________________ Cardholder Signature_____________________________________________________ REGISTRATION FORM 51st Internet Engineering Task Force - Page 2 of 2 5-10 August 2001 London, England IMPORTANT: The resgistration fee is US$450.00 if received by the cut-off of: Noon ET, Friday, 27 July 2001. After this date/time, a fee of US$600.00 must be paid on-site, whether or not you have pre-registered. Full-time students with proper student ID will receive a special USD$150 student rate if registered and paid by the pre-registration cut-off date. Payments on-site will include the late fee, adding USD $150 to the rate. On-site registrations will not be eligible for the special student rate. Failure to provide valid student ID on-site will revoke the special student status. If you checked YES to receive a Hard Copy or CD-ROM copy of the Proceedings, USD$85.00 or USD$10.00 respectively will be added to the registration fee. Your credit card account will show a charge to IETF Registration Fee. CANCELLATION/REFUND POLICY: Refunds are subject to a USD$50.00 service charge. Cancellations and requests for refunds must be received by 1700ET, Wednesday, 1 August 2001. Refund requests will not be honored beyond this point. To cancel and request a refund, contact the IETF Registrar at ietf-registrar@ietf.org Register ONE person per form. Substitutions are NOT allowed. Include a completed Registration Form with payment. Purchase orders are not accepted. We cannot invoice for payment. DD Form 1556 IS accepted. Your registration fee includes admission to all working group sessions and plenaries, Sunday evening reception (cash bar), daily continental breakfast and afternoon coffee breaks. Please contact the IETF Registrar if you have any questions concerning registration, payments, etc. Telephone: 703-620-9053 Fax: 703-620-9071 E-mail: ietf-registrar@ietf.org Direct all inquiries to: IETF Meeting