********************************************************* * SAC '98 * * * * Fifth Annual Workshop on * * SELECTED AREAS IN CRYPTOGRAPHY * * * * August 17-18, 1998 * * Queen's University, Kingston Ontario, Canada * * * * http://adonis.ee.queensu.ca:8000/sac98/ * * * * * ********************************************************* cut +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ REGISTRATION FORM SAC '98 Surname _________________________Given Name: ________________________ Organisation: _______________________________________________________ Address: ____________________________________________________________ _____________________________________________________________________ __________________________________________Postal/Zipcode: ___________ Phone: _________________________ Fax: _______________________________ e-mail: _____________________________________ CONFERENCE REGISTRATION: Please check the appropriate box: [ ] Regular Registration (by July 18)....$200.00 ...................$________ [ ] Full Registration (after July 18)....$250.00 ...................$________ [ ] Full-time Student ................... $80.00 ...................$________ ACCOMMODATION ON CAMPUS: Victoria Hall, Queen's University: includes room, breakfast, parking and tax(Residence Phone: 613-545-2223, Fax: 613-545-6624) [ ] Single [ ] Double; sharing room with___________________________ Sunday night Single $50. Double $30x2 ..........................$________ Monday night Single $50. Souble $30x2 ..........................$________ Tuesday night Single $50. Double $30x2 ..........................$________ Extra Dinner tickets @ $40.00 per ticket: ( )x$40.....................$________ TOTAL AMOUNT PAYABLE:.................................................$________ Method of Payment:[ ]Credit Card [ ]Cheque in Canadian funds(payable to SAC '98) Payment by Credit card(select one): [ ]Visa [ ]Mastercard Name on Card: ________________________________________ Card Number:__________________________________________ Cardholder's signature: ______________________________ Expiry Date: _____/_____(mo/yr) cut+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ACCOMMODATION OFF CAMPUS: Attractive Bed & Breakfast is available within walking distance of the campus. Some nearby hotels are also listed below. Early reservations are strongly recommended. B&B/Hotel Address Single rates Telephone FAX start at Hochelaga Inn 24 Sydenham St. $115 613-549-5534 613-549-5534 Rosemount Inn 46 Sydenham St. $109 613-531-8844 613-531-9722 Secret Garden 73 Sydenham St. $95 613-531-9884 *(see below) Holiday Inn 1 Princess St. $128 613-549-8400 613-549-3508 Ramada Inn 1 Johnson St. $119 613-549-8100 613-547-3241 Howard Johnson 237 Ontario St. $89 613-549-6300 613-549-1508 *email: baker@the-secret-garden.com; Webpage: http://www.the-secret-garden.com Mail or FAX this form to: Stafford Tavares Department of Elect. and Computer Engineering Queen's University Kingston, Ontario K7L 3N6 Fax: 613-545-6615 Phone: 613-545-2945 or -2925