International Conference

Computer Graphics, Imaging and Visualization

Penang, Malaysia

REGISTRATION - FORM

Personal Details:

Del Ref. (if any): ...................... Date: ....................................………

Title: ..................... Surname: ......................................................... First Name: ............................. ........

Address: ………...................................................................................................………………………………

...................................................................................................................................................................

........................................................................................ ......................................... ................................

Email: ............................................... Tel : ......................................... Fax: .............................................

Registration Category:


Tick appropriate boxes		BEFORE 5^th May 2003		AFTER 5^th May 2003		BEFORE 5^th May 2003	AFTER 5^th May 2003
[ ]	Presenter	[ ] 300 USD		[ ] 350 USD		[ ] 200 USD	[ ] 250 USD
[ ]	Participant	[ ] 350 USD		[ ] 400 USD		[ ] 300 USD	[ ]350 USD
[ ]	Student	[ ] 200 USD		[ ] 250 USD		[ ] 175 USD	[ ] 250 USD
[ ]	Excess Page Fee	40USD / page £25 / page			Authors/presenters only - Total = (Number of Excess pages)25*
[ ]	Tutorials (1/2-day)	[ ] 100USD	[ ] ] 120USD		Please insert tutorial session No:
[ ]	IV Society	[ ] £20	[ ] £20		Membership for Information Visualisation Society
Total amount enclosed:

PLEASE NOTE:

1. Early registration discount - Forms must be postmarked and full payment included on or before 5th May 2004 in order to be eligible for early registration discount.

2. If you are a presenter and submitting you camera ready paper for publication, you will be registered automatically and subject to full or reduced (if payment is received before 5th May 2004) registration fee - You need to submit registration form as well.

3. Registration Forms submitted to the conference office after 1^st of July 2004 cannot be processed in time for the conference. If your form is received after 1^stof July 2004, you will be asked to repay registration fee at the conference and your original payment will be refunded.

4. Participants' request for refunds must be received by 14 June 2004. Refunds are subject to a £50.00 administration fee. Participants or presenters who fail to attend and do not notify the conference secretary prior to refund date will be charged the full fee.

5. Participant substitutions are allowed at any time with written notification.

6. The conference registration fee includes admission to all academic and industrial sessions; one copy of the conference Proceedings; Unlimited admission to the exhibitions; lunches and refreshments during conference breaks and a social event organised by IV04 Conference.

7. Courses/Tutorial registration only includes the course material but not the Conference Proceedings nor attendance to conference sessions, nor the social event.

Method of Payment:

Payment of fees will be accepted in Pounds Sterling only, tick appropriate box below for payment method:

[ ] Cash.

[ ] Cheques or Bank Draft - Should be payable to the order of "GraphicsLink...cgiv04).

[ ] Direct Bank Transfer: Payment to "GraphicsLink … cgiv04"

Bank : HSBC Bank,

Bank Address: 150, STOKE NEWINGTON HIGH STREET, LONDON, N16 7JP, UK

Account Number : 21399519 Sort Code: 40-06-27

Please note that your cheque payment or a copy of your bank transfer should be attached to this form.

Additional Information:

How did you hear about the CGIV04 conference? [ ] Email [ ] Web [ ] Magazine advertisement [ ] Mailing List [ ] Colleague [ ] Attended before [ ] Other:

Which of symposia are you particularly interested in?

Signature: …………………………………… Date: …………………………………………..

(I authorise payment for this registration to be processed as I have indicated above)

PLEASE RETURN THE REGISTRATION FORM TO:

Anita D’Pour, Conference Co-ordinator

P.O. BOX 29, HATFIELD, AL9 7ZL, United Kingdom.

T: (Int. +44) 1707 - 652 224

F: (Int. +44) 1707 - 652 247

E: cgiv04@graphicslink.demon.co.uk

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