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NDSS Symposium 1997

Registration Information

FeesISOC MembersISOC Non-Members*
Early registration
(postmarked on/before Jan. 22)
Late registration$375$415

Registration Includes

  • Attendance
  • Symposium Proceedings
  • Two luncheons
  • Reception
  • Banquet
  • Coffee Breaks

* Non-Member fee includes one year Internet Society membership.

For More Information

Contact Carol Gray at the Internet Society at +1-703-648-9888 or send E-mail to

Web Page

Additional information about the symposium and San Diego, plus on-line registration, are available via the Web at:

Sponsorship Opportunities Available!

Contact Torryn Brazell at the Internet Society at +1-703-648-9888 or send E-mail to

Registration Form

10-11 FEBRUARY, 1997                       SAN DIEGO, CALIFORNIA, USA

Fill out this form and FAX it to NDSS'97 Registration at +1-703-648-9887,
send it via E-mail to, or mail it to NDSS97,
12020 Sunrise Valley Drive, Suite 210, Reston, VA, 20191, USA


  __Mr __Ms __Mrs __Dr __Prof __M __Prof Dr __Dip Ing __Ing __Miss __Mlle

  First Name: ________________________________  MI: ____________________

  Family Name: ___________________________________  __Sr __Jr __II __III

  Badge Name: __________________________________________________________
  Please enter your name as you would like it to appear on your name tag.


  Title: _______________________________________________________________

  Organization: ________________________________________________________

  Street address: ______________________________________________________


  City: ________________________________________________________________

  State/Province: ___________________________  Postal Code: ____________

  Country: _____________________________________________________________

  Telephone Number (work): _____________________________________________

  Telephone Number (home): _____________________________________________

  Fax Number: __________________________________________________________

  E-mail address: ______________________________________________________

SPECIAL NEEDS?  (Vegetarian meals, wheelchair access, etc?)




  ___  Please check here if you would NOT like your name included 
       in the list of registrants.


  All Payments must be in United States Dollars.

  Conference Fee

  If you are an Internet Society member, you are eligible for a
  reduced conference registration fee.  Non-member symposium 
  attendees will receive a one year Internet Society membership 
  as part of the non-member registration fees.

  Check one:                        On/Before        After
                                    January 22    January 22
                                    ----------    ----------
  ___ Internet Society Member Fee   US$ 305.00    US$ 375.00

  ___ Non-Member Fee                US$ 345.00    US$ 415.00

  Method of Payment

  Payment must be received on/before February 7, 1997 or we will 
  be unable to pre-register you.

  1. ___ Check.  Make payable to the Internet Society.  

  2. ___ Credit Card. ___ American Express ___ Visa ___ Mastercard

         Name on Credit Card: ____________________________________
         Credit Card Number: _____________________________________

         Expiration Date: ________________________________________

  3. ___ CyberCash.  Account Number: _____________________________

  4. ___ First Virtual.  Account Number: _________________________

  5. ___ Wire Transfer*		

         Bank ABA Number: 054000030
         Account Number: Internet Society 148 387 10

         Riggs National Bank of Virginia   
         950 Herndon Parkway               
         Herndon, VA  20171  USA

         Wire Transfer Confirmation Number: ______________________

         * Please process wire transfer before sending registration 

  6. ___ U.S. Government Purchase Order*

         P.O. Number: ____________________________________________

         * Please fax or mail a copy of your purchase order along 
	   with your registration form.

  Cancellation Policy

  Refunds (less a $25 processing fee) will be issued for cancellations 
  received on/before February 7, 1997.  No refunds will be issued 
  after February 7, 1997.