Registration Form

Space is limited - register early!

The Early Registration deadline is Wednesday, June 2.

Registration by June 2: General Admission - $75, ISR Sponsors - $50, UC and ISR - no cost.
Registration after June 2: General Admission - $100, ISR Sponsors - $75, UC and ISR - no cost.

Registration Information:

*Required field

*First Name:
Middle Initial:
*Last Name:
Preferred Name on Name Badge:
Title:
Affiliation:
*Street Address1:
Street Address2:
Street Address3:
*City
*State
*Zip
*Email Address:
*Phone:
Fax:

* Registration Cost:

A list of sponsors is available.

* Parking:

Due to construction around the event location, we are reserving a block of parking spaces in lot G for registrants. The cost to park in this special block of spaces is $5, which must be paid at the time of registration. When you choose this parking method, simply give your name to the attendant at the blocked off section of Lot G upon arrival.
You cannot use a purchased permit to park in this block of reserved spaces.

Purchase special parking in Lot G ($5).
Do not purchase special parking in Lot G.

If you do not purchase this parking with registration, you may purchase a permit at an automated dispenser. For instructions, visit the parking and directions page.

* Payment Method:

I will pay by Visa credit card.
I will pay by Mastercard credit card.
I will pay by check or money order.
My fee is waived (UC, ISR).

Checks and money orders should be made payable to UC Regents.
Mail your check/money order and a copy of your web or email registration confirmation to:
Steve Ponting
University of California, Irvine
Institute for Software Research
ICS2 110
Irvine, CA 92697-3425
To pay by Visa or Mastercard, please submit this form and call Steve Ponting at (949) 824-7951 to provide your credit card information securely. Please note that we can only accept Visa and Mastercard credit cards.

Where did you hear about this event? (e.g. ISR email list, OC Register, UCI Zot Mail, colleague, etc.)

Special Needs:

If you have any special needs, please explain:

Additional Comments:

Registration includes mid-afternoon snacks and evening reception. Lunch is not provided. Parking is a separate $5 cost, should you choose to purchase it with registration. (Parking and directions information is available.)

Cancellation policy: After June 2, substitutions only - no cancellations accepted.

* If you experience any difficulty with the on-line registration process, you may contact Steve Ponting at (949) 824-7951 to register by phone.