INTERNATIONAL LISP CONFERENCE 2003 REGISTRATION FORM


The International Lisp Conference 2003 will be held in New York, in
midtown Manhattan from Sunday October 12th through Wednesday October 15th.

Sunday, October 12th will be a full day of tutorials, the remaining days
will be dedicated to presentations, competitions and demonstrations.

In order to confirm and guarantee your registration, we need payment in
the form of a credit card, check or money order. Checks and Money Orders
should be made payable to ASSOCIATION OF LISP USERS.

Email registration is not available. Please Fax or Mail registration requests. 
You will receive confirmation by email.



REGISTRATION FEES

Reg. Type			Description			Cost (US$)
1-day 				1 full conference day 		$200.00
4-day 				4 full conference days 		$750.00
4-day-early*			4 full conference days		$700.00
1-day walkin			1 full conference day		$250.00
Student Rate** 			1 full conference day 	 	 $50.00

*must register by July 15th
**must have valid student ID!




REGISTRATION PROCEDURE

1. Print and fill out this form.
2. Payment
   a. Make checks payable to ASSOCIATION OF LISP USERS or,
   b. Provide credit card information
3. Mail or Fax registration form and payment to the following address:


Mail to:

INTERNATIONAL LISP CONFERENCE 2003
ATTN: Raymond de Lacaze
230 West 55th Street
Suite 25C
New York, NY 10019


Or FAX to: (212) 489-3669


Please fill out carefully and legibly the following information:


First Name:	_____________________________
	
Last Name: 	_____________________________

Company:	_____________________________

Address(1):	_____________________________	

Address(2):	_____________________________

City:		_____________________________

State/Prov:	_____________________________

Zip/Postal:	_____________________________

Country:	_____________________________

Phone:		_____________________________

Email:		_____________________________
	


REGISTRATION DAYS


Circle all that apply:


Sunday Oct. 12th	Monday Oct. 13th	


Tuesday Oct. 14th	Wednesday Oct. 15th
	

Early-Bird		Student			Walk-in



Please enclose a check or money order, or fill out CREDIT CARD INFORMATION 



Amount to Charge __________________


Visa _________	   MC _____________	Cardholder Name ___________________


Card# _____________________________     Expiration Date ___________________




Signature _________________________________________________________________