Part 1

Complete this form to register for SIGGRAPH 2003.  Entries marked with a dot (*) must be filled in. ここでシーグラフ2003のレジストレーションフォームを完成させます。（＊）ドットのマークがついた箇所は必須項目なので記入漏れのないようにお願いします。
Part 1
Attendee Information
* Membership　ACM会員かどうかの質問
ACM SIGGRAPH Member membership number ACM会員ならばここにチェックしてください。テキストボックスには会員番号を記入してください。
Local or regional ACM SIGGRAPH memberships are NOT eligible for registration discounts.
Non-Member  一般の方はここにチェックしてください。
Student 学生の方はここにチェックしてください。
In order to receive the student rate in advance, you must be a full-time student and mail or fax your student identification to SIGGRAPH 2003. あなたは、学生料金で参加するためには、現在在学中の学生でなければいけません。シーグラフ２００３事務局に学生と識別できる書を、ファックスまたEMAILで送付しなければなりません。
If you have a VIP Code, please enter it here もしあなたがVIPコードを持っているならば、ここに入力してください
Identification
First Name *名
Last Name *姓
Job Title　職種
Organization　会社名
Address 1 *　住所１
Address 2　住所２
City *　都市名
State/Province *	Select State or Province Here Alabama - AL Alaska - AK American Samoa - AS Arizona - AZ Arkansas - AR Armed Forces Europe - AE Armed Forces Pacific - AP Armed Forces the Americas - AA California - CA Colorado - CO Connecticut - CT Delaware - DE District of Columbia - DC Federal - OE Federated States of Micronesia - FM Florida - FL Georgia - GA Guam - GU Hawaii - HI Idaho - ID Illinois - IL Indiana - IN Iowa - IA Kansas - KS Kentucky - KY Louisiana - LA Maine - ME Marshall Islands - MH Maryland - MD Massachusetts - MA Michigan - MI Minnesota - MN Mississippi - MS Missouri - MO Montana - MT Nebraska - NE Nevada - NV New Hampshire - NH New Jersey - NJ New Mexico - NM New York - NY North Carolina - NC North Dakota - ND Northern Mariana Islands - MP Ohio - OH Oklahoma - OK Oregon - OR Palau - PW Pennsylvania - PA Puerto Rico - PR Rhode Island - RI South Carolina - SC South Dakota - SD Tennessee - TN Texas - TX Trust Territories - TT Utah - UT Vermont - VT Virgin Islands, U.S. - VI Virginia - VA Washington - WA West Virginia - WV Wisconsin - WI Wyoming - WY Alberta - AB British Columbia - BC Manitoba - MB New Brunswick - NB Newfoundland - NL Northwest Territories - NT Nova Scotia - NS Nunavut - NU Ontario - ON Prince Edward Island - PE Quebec - QC Saskatchewan - SK The Yukon - YT (not applicable) - NA (other) - O (unknown) - X (Only required for US/Canada residents) アメリカ、カナダの方のみ入力
Country *　国名	Select Country Here (not applicable) (other) (unknown) Aden Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Antigua and Barbuda Argentina Armenia Aruba Ascension Ashmore Islands Australia Austria Azerbaijan Azores Bahamas Bahrain Baker Island Bangladesh Barbados Barbuda Belarus Belgium Belize Belorus Benin Bermuda Bhutan Bolivia Bosnia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Caicos Islands Cambodia Cameroon Canada Cape Verde Cartier Islands Cayman Islands Central African Repubic Ceuta, Melilla Chad Channel Islands Chile China Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Coral Sea Island Corsica Costa Rica C�te d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Diego Garcia Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Far�e Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Grenadines Guadeloupe Guam Guantanamo Bay Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Islands Herzegovina Honduras Hong Kong Howland Island Hungary Iceland India Indochina Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Jan Mayen Japan Jarvis Island Johnston Atoll Jordan Kampachea Kazakhstan Kenya Kingman Reef Kirghiz Kirghizstan Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Madeira Island Malawi Malaysia Maldives Mali Malta Marisat (Atlantic West) Marisat (Atlantic) Marisat (Indian) Marisat (Pacific) Marshall Islands Martinique Mauritania Mauritius Mayotte McDonald Island Mexico Micronesia Midway Islands Miquelon Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Island Norfolk Island North Korea North Mariana Island Northern Cyprus Norway Oman Pakistan Palau Panama Papua - New Guinea Paraguay Peru Philippines Pitcairn Island Pitcairn Islands, Henderson, Ducie et Oeno Poland Portugal Principe Puerto Rico Qatar Reunion Romania Russia Russian Federation Rwanda Saipan San Marino Sanaa Sao Tome and Principe Saudi Arabia Scotland Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St Christopher St Christopher (St Kitts) and Nevis St Eustatius St Helena St Lucia St Maarten St Pierre et Miquelon St Vincent and the Grenadines Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Tasmania Thailand Tobago Togo Tokelau Tokelau Islands Tonga Trinidad Trinidad and Tobago Tristan da Cunha Trust Territories Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay US Virgin Islands Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Ville d'Avray Virgin Islands Wake Island Wallis and Futuna Islands West Indies Western Sahara Western Samoa Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe 日本（Japan)を選択してください。
Postal Code *　郵便番号
Telephone 電話番号	(For US/Canada, numerics only)
	(For international registrants, please include all country codes) アメリカ、カナダ以外の方は国番号も入れてください。
Fax　ファックス番号
Email *　メイルアドレス
Confirm Email *　メイルアドレス	もう一度入力
Check if you do not want your contact information made available to exhibitors あなたのこの情報を機器展示者に利用されたくなければここにチェックしてください。
* To help us maintain optimum service to our attendees, * please provide the following information:
* Your primary business focus (check only one): あなたの主な職業はどれですか？（一つだけ選んでください）
Animation / Special Effects
CAD / CAM / CAE Engineer
Digital Video
Educator
Game Developer
Graphics Arts / Design
Research / Scientist
Software Developer / Programmer
Web Developer / eCommerce
Other
* Products and services you currently use, recommend, specify,or purchase annually (check all that apply): あなたが使っている、勧める、または購入する製品やサービスなどがありましたら下記にチェックしてください。（複数回答化）
Animation
Business/PC Graphics
CAD/CAM/CAE/CIM/Robotics
Desktop/Other Publishing
Digital Video
Fine Arts/Graphic Design
Monitors and Displays
Multimedia/Hypermedia
Scan Converters/Scanners
Scientific Visualization
Special Graphics Processors
Storage
Virtual Reality/Simulation
Web Graphics Development
Workstations
Other
* Rate your buying influence: あなたは購入に関しての決裁権をどれだけ持っているかを記入してください。
Final Decision　最終的な決定権を持っている
Specify/Recommend　勧める程度
No Role　ありません
* Is this your first SIGGRAPH? あなたは初めてのシーグラフですか？
Yes　はい　 No　いいえ
Special Requirements: It is important that you enjoy SIGGRAPH 2003. If, due to a disability, you have special needs or requirements, please let us know in the space provided below, and we will do our best to accommodate you. (Limit of 1000 characters) 特別な要件：　シーグラフ２００３はあなた満足できるように最善をつくします。 もし、障害や特別なニーズ、要件があれば下記に書いてください。（１０００文字程度で）
これでよければ「Proceed to Part2」を押してください。すべて書き直す場合は、「Clear」を押してください。