REGISTRATION FORM 1999 IEEE Workshop on Applications of Signal Processing to Audio and Acoustics Mohonk Mountain House, New Paltz, NY October 17-20, 1999 REGISTRATION FEE Check one: Before Aug 17, 1999 After Aug 17, 1999 IEEE members ___$165 ___$190 Nonmembers ___$190 ___$215 Students ___$115 ___$140 For IEEE members: IEEE membership number: _________________________________ For students: Institution and program: ___________________________________ DAY/DINNER CHARGES This section applies only to workshop participants who are not staying at the Mountain House. The Mountain House bills the workshop a daily charge for each non-resident attending the workshop, and a separate dinner charge for each non-resident attending dinner. The daily charge includes use of the conference facilities, use of the grounds, and lunch. We regret that there is no discount if you have lunch elsewhere. Please indicate the number of days (Monday, Tuesday, Wednesday) and number of dinners (Sunday, Monday, Tuesday) you will attend. Number of days: ______ @ $75/day Total day charge ____________ Number of dinners: ______ @ $40/dinner Total dinner charge: ____________ TOTAL Total charges: ____________ PAYMENT METHOD Please check one: ____VISA ____ MasterCard ____ Check drawn on U.S. bank Credit card number: ______________________________ Expiration: ____________ Make checks payable to "IEEE 1999 WASPAA". We regret that we are unable to accept wire transfers, or checks drawn on non-U.S. banks. If paying by credit card, the name and address given below should match the billing information for your credit card. Your nametag will be printed using the name and affiliation given. If you want the nametag to appear differently, indicate this. SIGNATURE: _____________________________________________________________ NAME: _____________________________________________________________ AFFILIATION: _____________________________________________________________ ADDRESS: _____________________________________________________________ _____________________________________________________________ TEL: ________________ FAX: ________________ EMAIL: _______________________ REFUNDS Full refunds will be made for cancellations on or before August 17, 1999. Refunds are not available after that date. RECEIPTS Receipt of this form will be acknowledged by email, if given. Receipts for payment will be included with the registration pack given to workshop participants. MOHONK MOUNTAIN HOUSE Most participants stay at the Mountain House. The workshop has reserved a block of 40 single and 40 double rooms. Reservations should be made before September 17, 1999. After this date, reservations will be accepted on a space available basis only. Reservations must be made by contacting the hotel directly: Mohonk Mountain House Lake Mohonk New Paltz, New York 12561 Tel: 914-255-1000 Fax: 914-256-2161 Reservations direct line: 800-772-6646 ROOM RATES The room rates are given below, quoted per person, per night. Room rates are subject to a 13% service charge and applicable New York State taxes. Subject to availability, these rates may be extended on either end of the conference dates. Single: $203 Double: $162 The Mountain House provides three consecutive meals daily, beginning with dinner on the day of arrival through lunch on the day of departure. Credit is not extended for missing meals. DRESS CODE The Mountain House requires gentlemen to wear jackets for dinner in the main dining room. However, because the workshop has its own dining room for dinner, jackets are not required. CHECK-IN/CHECK-OUT Check in time is 4:00pm, check-out time is 2:00pm. Participants may arrive earlier than the check-in time; the Mountain House will store any baggage until the rooms are ready. CONTACT Please mail the first page of this form, along with your check, to: Bill Gardner, Treasurer, IEEE 1999 WASPAA Wave Arts, Inc. 99 Massachusetts Avenue, Suite 7 Arlington, MA 02474 For credit card payments, you can also fax the form to: Fax: 781-646-7190 Questions? Call Bill Gardner at 781-646-3794, or via email .