SAC '99 REGISTRATION FORM August 9-10, 1999, Queen's University, Kingston, Ontario, Canada Surname: _________________________ Given Name: _______________________ Organization: _________________________________________________________ Address: ______________________________________________________________ _______________________________________________________________________ __________________________________________Postal/Zipcode: _____________ Phone: _________________________ Fax: _________________________________ e-mail: _____________________________________ CONFERENCE REGISTRATION: Please check the appropriate box: [ ] Early Registration (by July 9).......$250.00 ..............$________ [ ] Full Registration (after July 9).....$300.00 ..............$________ [ ] Full-time Student (by July 9)........$125.00 ..............$________ [ ] Full-time Student (after July 9).....$150.00 ..............$________ ACCOMMODATION ON CAMPUS: Victoria Hall, Queen's University (includes room, breakfast, parking and tax) Residence Phone: 613-533-2223, Fax: 613-533-6624 [ ] Single [ ] Double; sharing room with ____________________________ Sunday night Single $50. Double $30x2 ...................$________ Monday night Single $50. Double $30x2 ...................$________ Tuesday night Single $50. Double $30x2 ...................$________ Extra Dinner tickets @ $45.00 per ticket: ( )x$45..............$________ TOTAL AMOUNT PAYABLE:..........................................$________ Method of Payment:[ ]Credit Card [ ]Cheque in Canadian funds (payable to SAC '99) Payment by Credit card (select one): [ ]Visa [ ]Mastercard Name on Card: __________________________________________ Card Number: __________________________________________ Cardholder's signature: ________________________________ Expiry Date: _____/_____(mo/yr) ------------------------------------------------------------------------ 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. $95 613-549-5534 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. $110 613-549-8400 613-549-3508 Ramada Inn 1 Johnson St. $132 613-549-8100 613-547-3241 Howard Johnson 237 Ontario St. $109 613-549-6300 613-549-1508 *email: baker@the-secret-garden.com; Webpage: 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: 613-533-6615 Phone: 613-533-2945 or -2925