1997 Midwestern ACM Chapter Conference Corporate Registration Form


All fields marked with '*' are required.


Corporate Info

Company Name:*

Suite:

Street Address:*

City:* State/Province:* Zip Code:* Country:

Please check below if you will be:
Recruiting Showing Products
My company deals in:
Software Hardware
I would like electricity available for my booth.
I would like an Ethernet (ThinNet) connection available for my booth.
How many IP addresses do you need?


Representative Info

Primary Contact

Name:*
MailStop:

Title:*

Phone: E-Mail:
(At least one of Phone or E-Mail must be filled out.)

Attending Conference: Yes No


Attending Representatives

Name:
MailStop:

Title:


Name:
MailStop:

Title:


Name:
MailStop:

Title:


Other Information

We need your help to support our conference. We ask for a minimum donation of $200. Companies donating in excess of $750 will become Official Sponsors of the conference and will be recognized for their generous contribution on the ACM@UIUC Web server.
Checks can be mailed to:
Association For Computing Machinery
Attn. Conference Committee
1225 Digital Computer Laboratory
1304 West Springfield
Urbana, IL 61801
Please enter the amount of your donation:

I would like to hold an informational discussion about my company.

All display-related items may be shipped to the above address prior to the conference.
The registration deadline for the conference is September 21, 1997.

If you have any additional comments or questions, please enter them below:

The Employment Fair/Product Show is scheduled for October 17. You will be mailed an official schedule prior to the conference.

Any questions? The Conference '97 Corporate Liaison is: Christy Schumacher | Christy Schumacher



Last updated: 04/17/97 cschumac@uiuc.edu