UE2 - Registration Form

	          Usability Engineering 2: Measurement and Methods (UE2)
                	              March 3, 1997
	
        	                     REGISTRATION CARD

	LAST NAME:___________________________________________________________
         
	FIRST NAME:__________________________________________________________

	COMPANY/ORGANIZATION:________________________________________________

	TITLE/FUNCTION:[ ] Project Dev. Mgr.         [ ] COTS Prod. Vendor
         	       [ ] Chief Info. Officer       [ ] Consultant   
        	       [ ] Govt. Contractor          [ ] Policy Maker
	  	       [ ] Procurement Official      [ ] User
                       [ ] Analyst or Engineer       [ ] Technical Staff
                       [ ] Researcher                [ ] Other _______________
 
	STREET ADDRESS:_______________________________________________________

	ROOM NUMBER/MAIL CODE:________________________________________________

	CITY:___________________________________STATE:____________ ZIP:_______       

	BUSINESS PHONE:________________________________ FAX:__________________

	EMAIL ADDRESS:________________________________________________________
	
	SERVICES NEEDED:______________________________________________________

	Amount Remitted: [   ]  $75 for registration fee

	Form of Payment:
	[ ] Check.     Make checks payable to: NIST/UE2.  (Checks from outside
	               the U.S.A. should be written on a U.S.A. bank)  

	[ ] Purchase Order Attached.  Purchase Order No.:_____________________
	               or Training Form (Enclose a copy or provide one on-site
	               at registration; faxed copy acceptable.)

	[ ] Master Card     [ ] Visa  Account No._____________________________ 

        	                 Exp. Date:___________________________________

                	         Signature:___________________________________

	Please return this form with payment by Tuesday, February 18, 1997 to
        be listed as a participant:        

	Office of the Comptroller
	National Institute of Standards and Technology
	A807 Administration Building
	Gaithersburg, MD  20899-0001
	Or Fax to: Tammie Grice, (301) 948-2067  PLEASE DO NOT SEND VIA EMAIL.

        REQUEST FOR CANCELLATION & REFUND must be received, in writing, by
        February 18, 1997.

        You may also register on site the day of the conference.

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