NDSS'99 Registration Form

Registration for NDSS'99 will now be accepted on-site only. Please print out this registration form and bring the completed registration form with payment to the conference.

NOTE: Wire transfer payments will not be accepted on-site. The Internet Society accepts the following credit cards: American Express, VISA, and MasterCard.

Personal Information

Prefix, First Name, Middle Initial

Family Name, Suffix

Badge Name (as you would like it to appear on your name tag)

Business Title

Organization/Institution

Mailing/Street Address

City

State/Province

ZIP/Postal Code

Country

Work Telephone Number (Include country code)

Fax Number (Include country code)

Email address (List only one)

Check here if you would not like your name included in the list of attendees.

Please specify if you have any special needs: wheelchair access, etc.

Do you require special meals?

Vegetarian
Kosher
Other (please specify)

How did you hear about NDSS'99?

Payment Information

All payments must be in United States Dollars.

If you are an Internet Society member, you are eligible for a reduced conference registration fee and pre-conference tutorial fee. Non-member symposium attendees will receive a one-year Internet Society membership as part of the non-member registration fees. For more information on the Technical Tutorials, see the Technical Tutorial Information page.

*Symposium Fee*	On Or Before January 6 EST	After January 6 EST
Internet Society Member Fee	US$ 475	US$ 545
Non-Member Fee	US$ 575	US$ 645
*Tutorial Fees*
If registration for a tutorial is insufficient, it may be cancelled.
Half-day	US$ 185	US$ 220
Tutorial #3 (Morning) Electronic Payment Systems
Tutorial #4 (Morning) Windows NT Services, Authentication and Access Control
Tutorial #6 (Afternoon) Web Security and Beyond: Protecting your Electronic Commerce Application
Tutorial #7 (Afternoon) Mobile Code Security and JAVA Architecture
Package (two half-days)	US$ 295	US$ 345
(Lunch included)
Tutorials #3 and #6 Electronic Payment Systems Web Security and Beyond: Protecting your Electronic Commerce Application
Tutorials #4 and #6 Windows NT Services, Authentication and Access Control Web Security and Beyond: Protecting your Electronic Commerce Application
Tutorials #3 and #7 Electronic Payment Systems Mobile Code Security and JAVA Architecture
Tutorials #4 and #7 Windows NT Services, Authentication and Access Control Mobile Code Security and JAVA Architecture
Full-day	US$ 295	US$ 345
(Lunch included)
Tutorial #1 Network Security Principles and Protocol Standards
~~Tutorial #2~~ CANCELLED ~~Optical Networks Security and Survivability~~
TOTAL		US$

Method Of Payment

Payment must be received by January 20, 1999. After January 20, attendees must register on-site.

Check

Make payable to the Internet Society.

U.S. Government Purchase Order

Please bring a copy of your purchase order along with your registration form.

P.O. #:

Credit Card

Charge to my:

Credit Card Number:

Expiration Date:

Name of Cardholder:

Signature: ________________________________

RATES ARE GIVEN IN U.S. DOLLARS. CHARGES TO YOUR CREDIT CARD WILL BE IN YOUR CURRENCY AT THE EXCHANGE RATE IN EFFECT WHEN PAYING CHARGES.

Cancellation Policy

Refunds (less a $50 processing fee) will be issued for cancellations received on or before January 20, 1999. No refunds can be issued after January 20, 1999.

Charge to my:
Credit Card Number:
Expiration Date:
Name of Cardholder:
Signature:	________________________________