SIGGRAPHに参加しよう

SIGGRAPHに参加しよう！

Part 6

Review/Payment Information

Part 1
Attendee Information

Firstname:

Taro

Lastname:

Urashima

Job Title:

Programmer

Organization:

Furble Kids

Address:

1-2-3 Shin-Urashima-Cho

Address 2:

Kanagawa-Ku

City/State Prov:

Yokohama, (other)

Postal Code:

221-0011

Country:

Japan

Phone:

+81.45.XXX. XXXX

Fax:

+81.45.XXX. XXXX

Email:

xxxx@hogehoge.co.jp

Provide information
to exhibitors?

Yes

Your primary business focus:

Animation / Special Effects

Products and services:

Animation

Conventions Attended:

1998/Orlando

Your buying influence:

Specify/Recommend

Special requirements:

View Your Virtual Badge

Part 2 Registration Category
Category:	Exhibits Plus
Complimentary Electronic Theater Ticket:	None
Registration Fee:	$40.00

Part 3 Additional Merchandise
Item	Quantity
SIGGRAPH 2001 Video Review Set:	0
Additional Fee:	$0.00

Part 4 Additional Electronic Theater Ticket
Time	Fee
(No Extra Ticket Selected)	$0.00

Part 5 Credential Mailing
Express Mail Not Selected

Credit Card Information:

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TOTAL FEE: $40.00

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* * Press 'submit registration' only once * *

Yasuo Ohba 2001