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    	REGISTRATION FORM
    	Fifth Tcl/Tk Workshop
    	July 14-17, 1997
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    Please complete this registration form and return it along with full
    payment to:

    USENIX Conference Office		Phone: 714.588.8649
    22672 Lambert St., Suite 613		Fax: 714.588.9706
    Lake Forest, CA USA 92630

    You may fax your registration form if paying by credit card. To avoid
    duplicate billing, please do not mail an additional copy.
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    NAME____________________________________________________________________
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    The address you provide will be used for all future USENIX mailings
    unless you notify us in writing.
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    ATTENDEE PROFILE
    Please help us serve you better. By answering the following questions, you
    help us plan our activities to meet members' needs. All information is confidential.

    [ ]  I do not want to be on the attendee list.
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    [ ]  I do not want USENIX to email me notices of Association activities.

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    1.( ) final	2.( ) specify	3.( ) recommend	4.( ) influence	5.( ) no role

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    5.( ) system engineer	     6.( ) technical manager	  7.( ) student
    8.( ) security	             9.( ) webmaster

    How did you first hear about this meeting (check one):
    1.( ) USENIX brochure	2.( ) newsgroup/bulletin board	3.( ) ;login:
    4.( ) World Wide Web	6.( ) from a colleague	        7.( ) magazine

    What publications or newsgroups do you read related to Tcl/Tk?

    _______________________________________________________________________
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    TUTORIAL PROGRAM

    Select one AM and one PM tutorial. Sorry, no half-day registration allowed.

    Monday, July 14, 1997
    =====================
    [ ] M1am   Effective Tcl/Tk Programming
    [ ] M2am   Building Multi-User Applications with GroupKit
    [ ] M3pm   Database Programming with Tcl/Tk
    [ ] M4pm   TclProp and OAT: Tools for Declarative Programming

    TUTORIAL PROGRAM FEES  (Monday, July 14)

    Tutorial program for one day				$335.00	$ _________
         	CEU credit (optional)				$ 15.00	$ _________

    Late fee if postmarked after Friday, June 27...Add	$ 50.00	$ _________

    TECHNICAL SESSION FEES  (Tuesday-Thursday, July 15-17)

    Current member fee					$340.00	$ _________
     (Applies to individual members of USENIX, EurOpen
      national groups, JUS, and AUUG)

    Non-member fee*  					$410.00	$ _________
     *Join or renew your USENIX membership, AND attend
     the conference for the same low price.	CHECK HERE [ ]

    Late fee if postmarked after Friday, June 27...Add	$ 50.00	$ _________

    Full-time student** fee, pre-registered or on-site	$ 75.00	$ _________

    Full-time student** fee including USENIX membership fee	$100.00	$ _________

    **Students: Attach a photocopy of current student ID

                                        		TOTAL DUE 	$ _________

    Payment (U.S. dollars only) must accompany this form. Purchase orders,
    vouchers, email, and telephone registrations cannot be accepted.

    [ ] Payment enclosed. Make check payable to USENIX Conference.

    Charge to my: ___VISA  ___MasterCard  ___American Express  ___Discover

    Account No. ____________________________________ Exp. Date  ___/___

    ___________________________________/_________________________________
    Print Cardholder's Name 		Cardholder's Signature

    *********************************************************************
    REFUND/CANCELLATION POLICY
    If you must cancel, all refund requests must be in writing with your
    signature, and postmarked no later than July 2, 1997. Telephone
    and email cancellations cannot be accepted. You may substitute another
    in your place. Call the conference office for details: 714.588.8649.
    *********************************************************************