Personal tools

am2003regs.html

AM2003 Registration Form

Home
About
 Working Groups
Publications 		Join
Events 		Topics
Chapters
News
Search 		Computer Professionals for Social Responsibility

Computer Professionals for Social Responsibility Presents

Getting the Technology You Deserve:
Community Participation in Regional Cable Franchise Policy
and
Norbert Wiener Award Dinner for Mitch Kapor

Saturday, October 25, 2003
Daybreak Star Cultural Center, Discovery Park, Seattle, Washington, USA

If you wish to register offline, please print this form and mail to:

CPSR, P.O. Box 717, Palo Alto, CA 94302

or fax to +1 (650) 322-4748

NOTE:
Conference registration includes lunch.
Space and food will be limited.
After Monday, October 20th, registrations will only be accepted on-site at the conference.
CPSR will not process registrations from Tuesday, October 21-Friday, October 24.
We highly recommend registering by October 20th to avoid possible disappointment.

Name:
Please provide your name as you would like it to appear on your nametag
Address:
City:State:
Country:Zip:
Telephone:
Email:
Company/Organization/School:

I plan to attend the CPSR Globalization Session, that is free and open to the public,
Friday, October 24th from 6:00-8:00 pm.
at the Watertown Hotel, 4242 Roosevelt Way NE, Seattle

I plan to attend the CPSR Annual Meeting, that is free and open to the public,
Saturday, October 25th from 6:30-7:30 pm
at The Daybreak Star Conference Center, Discovery Park, Seattle

Payment method for the CPSR Annual Conference and/or Norbert Wiener Award Dinner for Mitch Kapor
Saturday, October 25th from 7:30-9:30 pm
at The Daybreak Star Conference Center, Discovery Park, Seattle

Check  Visa  MC  AMEX 

Card #: Expiration Date:

Signature:

If you are not currently a CPSR member, please consider joining or reactivating your membership along with your registration -- it's a deal.

(Sept 27-Oct 20) -- and Register as a CPSR Member
 
Name:
 

Registration Type

(please choose one): 		Early Later*On-Site*
(received by Sept. 26)
Renew or Join CPSR for only:
Student/Low-Income Dues $20 $20 $20
Dues for Others $40 $40 $40
 
CPSR Member :
Conference Only : $55 $75 $90
Conference with Wiener Dinner: $ 90 $120* $145*
Conference Only Student/Low Income: $ 25 $35 $45
Conference Low Income with Dinner: $ 60 $75* $90*
 
Non-member:
Conference Only: $ 85 $105 $125
Conference with Wiener Dinner : $140 $170* $200*
Conference Low-income/student: $35 $50 $65
Conference Low-income with Dinner: $80 $100* $120*
Conference Press Representative: $ 0 $ 0* $ 0*
 
Saturday Evening Wiener Award Dinner
without Conference registration
CPSR Member - Dinner Only: $40 $50* $60*
Student/Low-Income Member- Dinner Only: $40 $45* $50*
Non-member - Dinner Only: $60 $70* $80*
Student/Low-Income - Dinner Only: $50 $55* $60*
Press Dinner: $40 $50* $60*
* Space is limited.

Additional donation to further CPSR's work $
Total Fee: $

How did you hear about the conference and dinner ?

Comments and/or Special Needs:

Archived CPSR Information
Created before October 2004
Announcements

Sign up for CPSR announcements emails

Chapters

International Chapters -

> Canada
> Japan
> Peru
> Spain
          more...

USA Chapters -

> Chicago, IL
> Pittsburgh, PA
> San Francisco Bay Area
> Seattle, WA
more...
Why did you join CPSR?

Interested in a forum in which to contribute efforts and share ideas and also, more specifically, a forum in which I may contribute some articles that I am working on.