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Conference Logo Shaping the Network Society: The Future of the Public Sphere in Cyberspace (A preview) ?

Please print this form to register if you would like to pay by check.

You can also register online using your credit card and a secure server. If you get a "certificate expired" notice when you attempt to register, you should upgrade your browser and try again (or just register by postal mail).

In order to facilitate. secure mode transactions, your browser must be capable of supporting SSL. You shouldn't experience any problems with newish versions of Netscape. You may see a pop-up warning message with Internet Explorer, however. It will ask if you want to view the non-secure items. You should click "NO" and choose to only view the secure items.

Click here to register online.

If you're not currently a CPSR member, please consider joining along with your registration - it's only $15 more than the non-member registration fee.

To pay by check, please print this form and mail to:

   CPSR
   P.O. Box 717
   Palo Alto, CA 94302-0717

Please also take the time to contribute to the symposium e-resources.

Name:
Please provide your name as you would like it to appear on your name tag
Address:
City:  State / Province:  Zip / Postal code:
Country:
Telephone:
Email:
Affiliation(s):

Registration Type (please choose one):

 Early (before May 1)  Later or on-site
CPSR (or endorsing organization) member: $65 $80
Non-member: $95 $120
New CPSR membership & registration: $110 $135
Low-income/student: $35 $45
Low-income/student CPSR membership & registration: $50 $60

The Reception/Benefit requires separate registration

Reception/Benefit: $15 $15
A copy of the proceedings will be provided to each attendee.
Please include $20 for each of addtional copy purchased.

Your additional donation will help ensure CPSR's work. Thank You! $

Total Amount: $

If you are registering as a media representative, please tell us your affiliation:

On Monday and Tuesday (May 22 and 23) we will convene a variety of smaller, more focused events. We are assuming that many participants will not be available for this portion of the symposium and we may need to limit attendance to 200 people. Please let us know if you plan to attend on Monday and/or Tuesday

In order to make this symposium as useful for you as possible, we are planning to organize special events and resources to meet your needs. Please indicate below any concerns and information that you'd like to address at this symposium. We can't guarantee success but we'll do our best!

Please list any specific goals or objectives that you have.

Please list any people or representatives of organizations that you'd like to meet at the symposium. Please add any additional comments, questions, or concerns that you have.

Please take the time to contribute to the e-resource.