IEEE Visualization '96 Demonstrators Registration Form
Demonstrators Registration Form
IEEE Visualization '96


Please complete this form and return via the route of your choice. Addresses and phone numbers can be found at the bottom of the form.

Company/University Name:


Mailing Address:


City/State/Zip/Country:

Phone:

Fax:

Contact Name:

E-mail:


Please include me as a Visualization '96 Demonstrator in the following category:

_______Corporate Partner ($5,000 includes 2-table setup and 2 conference registrations)
_______Corporate Demonstrator ($1,750 includes 1-table setup and 2 conference registrations)
_______Corporate Support ($1,000 to support Visualization '96)
_______Non-Profit Demonstrator ($400 includes 1-table setup)
_______Academic Institution (No Fee for 1-table setup by invitation)

NOTE:
1-table setup includes up to 8'x10' floor space.
2-table setup includes up to 2 8'x10' spaces.

Name(s) of person(s) who will be working demonstration (up to 4 demonstrators):





E-mail & Phone:


Approximate value of equipment being used in $U.S. (for insurance purposes):


Description of our demonstration (Suitable for inclusion in a Demo/Exhibit handout; also include software, hardware, and any special power or space requirements):














How many free exhibits-only passes?


Please submit this Demonstration Application to:

Upul Obeysekare:
Concurrent Technologies Corporation
1450 Scalp Avenue
Johnstown, PA 15904
Phone: 814-269-2542
Fax: 814-269-2666
email: obey@ctc.com
Please MAKE OUT CHECKS to ``IEEE Visualization '96'' and send them to:

Carol Hunter:
Lawrence Livermore National Lab
P.O. Box 808, L-60
7000 East Avenue
Livermore, CA, 94551
Phone: 510-422-1657
Fax: 510-423-8704
email: chunter@llnl.gov


For further information and changes about the IEEE Visualization '96 Conference, contact one of the Conference Co-Chairs or see the www or ftp sites: