Registration Form

The Fifth Asian Technology Conference in Mathematics (ATCM 2000)
December 17-21, 2000
Chiang Mia, Thailand

On-Line Registration closes on November 30, 2000. Registration after that date will be done on-site.
This registration form is for participants that are planning to attend ATCM 2000 only OR both ATCM & ASCM 2000. If you plan to attend only ASCM 2000, please visit the ASCM 2000 website at http://mmrc.iss.ac.cn/~ascm.
Contact Information
Title:    
First Name: Last Name:
Affiliation: Department/Faculty:
Address:
Please provide COMPLETE information; we may need this address
for future communication by postal mail.
City, State: Country:
Postcode/ZIPCode: Office Phone #:
Fax Number: Email Address:
Information to Appear on Your Conference Name Tag
(If different from the information given above)
 Name  
 Affiliation  
Registration Fee (Choose ONE only)

Please select ONLY one of the following registration options:

Early Registration (on or before October 15, 2000)
ATCM 2000 Only for US$220 (closed)
Both ATCM 2000 and ASCM 2000 for US$250 (closed)

Late Registration (after October 15, 2000 and before December 1, 2000)
ATCM 2000 Only for US$250
Both ATCM 2000 and ASCM 2000 for US$280

Hotel and Tour reservations are done separately. Forms for each should be downloaded from the conference site; when complete, please return each form to the appropriate authority for processing. Registration after November 30, 2000 will not be done on-line but only on-site.

Refund policy: Conference registration cancellation must be submitted by a written request to ATCM, Inc., P.O.Box 11072, Blacksburg, VA 24062, U.S.A. no later than December 1, 2000 subjected to a US$50.00 processing fee. No refund will be offered for cancellation after December 1, 2000 or failure to attend the ATCM/ASCM 2000 conference.

 
Payment Method (Choose ONE only)
Bank Draft (in US$) Credit Card (Visa or MasterCard)

© ATCM, Inc. 2000