Attendee Registration for CCSCNE 2003 April 25-26, 2003

(If you are a Presenter, Vendor, or Programming Contest Registrant please see the 

appropriate sections of the web site at http://www.ccscne.org/2003/register.htm.)

Please mail this registration form with check or P.O.made out to  CCSC (Consortium for Computing Sciences in Colleges) to:
Frank Ford Department of Math/CS Providence College Providence, RI 02918	fpford@providence.edu Phone:(401) 865-2635 Fax:(401) 865-1438
Name:
Department:	Work Phone:
Institution:	Home Phone:
E-mail:	Fax:
Address:
City, State, ZIP:
If you are already a member of CCSC:
Member ID:
Check here if name is a new name‚
Check here if address is a new address‚
Conference Information:
Item		Number	Cost	Total
Early reg (postmark by April 1^st)			$120
Late reg (postmark after April 1^st)			$150
Student Registration			$40
Extra Banquet Ticket			$30
Extra Lunch Ticket			$15
Extra Proceedings			$10
Previous Years' Proceedings(Year +Number)			$10
TOTAL: (Make check payable to CCSC)
Do you wish to be included in participation list?			YES	NO
Do you wish to be included in the appropriate CCSC list serves?			YES	NO
From which sections do you wish to receive mailings? (Circle as many as you want) CentralPlainsEasternMidWestNorthEastNorthWestRockyMountainSouthCentral SouthEast
Which section do you wish as your voting section? (Circle one) CentralPlainsEasternMidWest NorthEastNorthWestRockyMountainSouthCentralSouthEast
Please remember that if you want to attend a pre-conference workshop, you must notify  Roger Simons, Rhode Island College at  rsimons@ric.edu or (401) 456-9865 to ensure a seat .