2001 IEEE Symposium on Security and Privacy Registration Form Name: _______________________________________ Affiliation: ________________________________ Postal Address: _____________________________ _____________________________________________ _____________________________________________ Phone: ______________________________________ Fax: ________________________________________ Email: ______________________________________ Note: Address information will be distributed to attendees. Please enter the appropriate registration category. Payment must be included and must be either by check in U.S. dollars, drawn on a U.S. bank and made payable to "IEEE Symposium on Security and Privacy," or by credit card. Dates are strictly enforced by postmark. Advance registration (up to 9 April 2001) __ Member: $310.00 IEEE or Computer Society Member #________, required __ Non-Member: $385.00 __ Full-time students: $100.00 Late/on-site registration __ Member: $370.00 IEEE or Computer Society Member #________, required __ Non-Member: $460.00 __ Full-time students: $100.00 Do you wish to present at a poster session or lead an evening discussion? [ ] Yes [ ] No Do you require vegetarian meals? [ ] Yes [ ] No Please indicate you method of payment by checking the appropriate box: [ ] Check in U.S. funds drawn on a U.S. bank (PLEASE ENCLOSE WITH THIS FORM) Credit card authorization: (Charges will appear on your statement as made by the IEEE COMPUTER SOCIETY. Your credit card number will be transmitted to the IEEE over the Internet, using an SSL-protected link.) [ ] Visa [ ] Mastercard [ ] American Express [ ] Diners Club Credit Card Number: Card Holder Name: Expiration Date: Signature (required for credit card payments) Mail registration to: Heather Hinton Tivoli Systems 6300 Bridgepoint Parkway Building IV, B4001 Austin, Texas, 78731, USA Or fax this form (credit card registrations only) to: FAX +1-512-436-9411 NO REGISTRATIONS BY EMAIL. NO REFUNDS.