****************************************************************** To register for Crypto 2000, send the completed form with payment to: Crypto 2000 Conference Campus Conference Services University of California Santa Barbara, CA 93106-6120, USA If paying by credit card, the completed form can be faxed to (805) 893-7287. We cannot accept registration by email. ****************************************************************** Name: Affiliation: Address: Phone: Fax: Email: URL: Sex: Conference Registration (choose a, b, or c): a. Full Time Student ($230) [ ] b. Attended Eurocrypt 2000 (Belgium) ($440) [ ] c. Regular Registration Fee ($520) [ ] IF YOUR REGISTRATION IS POSTED AFTER JUNE 30, 2000 - ADD $80 [ ] Room (no smoking, 4 Nights, Sun. to Thur.) and Board (breakfast and lunch Mon. to Thur.): Single Room ($250) [ ] Double Room ($193 per person) [ ] (Roommate's Name: ____________________________) Saturday Night ($70 per person single/$56 per person double) [ ] Thursday Night ($71 per person single/$57 per person double) [ ] Extra Guest for Social Programme only: ($140 per person) [ ] (Guest's Name: ________________________________) IF YOUR EXTRA GUEST FEE IS POSTED AFTER JUNE 30, 2000 - ADD $80 [ ] TOTAL FUNDS DUE (US Dollars): $_____________ Payment - We accept checks IN US DOLLARS DRAWN ON A US BANK made payable to "U.C. Regents", or credit cards. You MUST include your payment in full when you return this form. If you choose to pay by credit card, complete this section. Card type: [ ] American Express [ ] Visa [ ] MasterCard Card Number ......................................................... Expiration Date ......................... Name on the card ................................................... Cardholder's Signature ....................................... IACR Membership - When you register and pay for Crypto you will automatically become a member of IACR for next calendar year free of charge. As a member next year you will receive the IACR (email) Newsletter and The Journal of Cryptology. If you do NOT want to be a member next year, and do NOT want to receive the Journal or Newsletter, choose this box: I DO NOT WISH TO BE AN I.A.C.R. MEMBER [ ] Personal Information - The personal contact information that you provide is maintained in the IACR Membership Database and will be published in the conference attendee list and the IACR Membership List that is sent to all members every year. It is NOT made available to any other organisation in electronic form. If you do NOT want your contact information to be published in the conference attendee list and the IACR Membership List, choose this box: I DO NOT WANT MY DETAILS PUBLISHED [ ]