Full Name (Given Name then Family Name)_________________________________

Name as it should Appear on Badge ______________________________________

Affiliation (as it should appear on badge) _____________________________

Address ________________________________________________________________

City ___________________________  State/Province _______________________

Zip/Postal Code ________________________________________________________

Country ________________________________________________________________

Email __________________________________________________________________

Phone (optional) _______________________________________________________

Food Preference (Regular/Vegetarian) ___________________________________


REGISTRATION FEES (Circle reg. rate and tutorial rate(if attending)):
                                       BEFORE Oct 10th   AFTER Oct 10th
Registration: Discounted rate (see below)  $190.00           $250.00
Registration: Normal rate                  $250.00           $300.00
Tutorials:    Discounted rate (see below)    80.00           $150.00
Tutorials:    Normal rate                  $150.00           $200.00

DISCOUNTED RATES APPLICABLE FOR SPONSORS (ACM MEMBERS, COST 264 MEMBERS,
CISCO EMPLOYEES, SPRINT EMPLOYEES), PC MEMBERS, and STUDENTS.

FOR DISCOUNT, LIST JUSTIFICATION: _________________________________

Tutorial registration includes BOTH tutorials:
   * The History and Deployment of IP Multicast Routing, Bill Fenner
   * Transport and Application Level Multicast, Brian Whetten
See http://www.cs.ucsb.edu/ngc2000/program for more information.


PAYMENT -- NGC 2000 payment is BY CREDIT CARD ONLY

Type (Visa/Mastercard [ONLY])___________________________________________

Number _________________________________________________________________

Card Expiration Date ___________________________________________________

Name on Card (Exactly how it appears) __________________________________

Total amount to charge to card _________________________________________

Signature ______________________________________________________________

Date ___________________________________________________________________

WRITTEN REQUESTS FOR REFUNDS MUST BE RECEIVED NO LATER THAN
NOVEMBER 1, 2000.  REFUND REQUESTS RECEIVED AFTER THIS DATE WILL
NOT BE ACCEPTED.  REFUNDS ARE SUBJECT TO A $50 PROCESSING FEE.



There are three ways to submit this registration form:  by email, 
by fax, and by the regular postal service.


BY EMAIL:  Send the first page of the registration form to:
           Terri Bartolome (tbartolo@sprintlabs.com)


BY FAX:    Send the first page of the registration form to:
           Terri Bartolome
           +1 650-375-4490


BY MAIL:   Terri Bartolome
           Advanced Technology Labs
           1 Adrian Court
           Burlingame, CA  94010

NOTE:  You will receive an email confirmation within a few days of
submitting your registration form.