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<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
<title>ACM Reflections | Projections Conference - Register - Sponsor Form</title>
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<p><font face="Arial" size="2"><br>
<br>
<br>
<br>
<br>
</font></p>
<font SIZE="2">
<p><font face="Arial"><font color="#FFFFFF" face="Arial" size="2">Please fill out the Corporate Registration Form below if
your company would like to be represented at this year's
Conference.</font>
<P>
<font color="#FFFFFF" face="Arial" size="2">
Donations:</font>
<BLOCKQUOTE>
<font color="#FFFFFF" face="Arial" size="2">
Job Fair - $500<BR>
Full Sponsorship - $1000</font>
</BLOCKQUOTE>
<P>
<font color="#FFFFFF" face="Arial" size="2">
Question may be directed to:<BR>
</font>
<BLOCKQUOTE>
<font color="#FFFFFF" face="Arial" size="2">E-mail: reflections@acm.uiuc.edu
<br>Phone: (217) 333-5828
<br>Fax: (217) 333-3501
<br><br>Mailing Address:
<br>Association For Computing Machinery
<br>MC-258
<br>Attn. Conference Committee
<br>1225 Digital Computer Laboratory
<br>1304 West Springfield
<br>Urbana, IL 61801</font>
</BLOCKQUOTE>
<P>
<form action="http://www.acm.uiuc.edu/cgi-bin/conference/sp_reg2.cgi"
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<table>
<tr><td COLSPAN=2><font color="#FFFFFF" face="Arial" size="2">Company Information</font></td></tr>
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<tr><td><font color="#FFFFFF" face="Arial" size="2">Donation:</font></td><td><font color="#FFFFFF" face="Arial" size="2">$<input type="text" size="10" name="don"></font></td></tr>
<tr><td><P><font color="#FFFFFF" face="Arial" size="2"> </font></P></td></tr>
<tr><td><font color="#FFFFFF" face="Arial" size="2">Password for future access:</font></td>
<td><font color="#FFFFFF" face="Arial" size="2"><input type="text" size="10" name="passwd">(clear text)</font></td></tr>
<tr><td><P><font color="#FFFFFF" face="Arial" size="2"> </font></P></td><td></td></tr>
<tr><td COLSPAN=2><font color="#FFFFFF" face="Arial" size="2">Job Fair Information</font></td></tr>
<tr><td><font color="#FFFFFF" face="Arial" size="2">Electricity needed at boot:</font></td>
<td><font color="#FFFFFF" face="Arial" size="2"><input type="radio" name="elec_yes" value="1">Yes<BR>
<input type="radio" name="elec_yes" value="0" checked>No</font><td></tr>
<tr><td><font color="#FFFFFF" face="Arial" size="2">Networking needed at boot:</font></td>
<td><font color="#FFFFFF" face="Arial" size="2"><input type="radio" name="net_yes" value="1">Yes<BR>
<input type="radio" name="net_yes" value="0" checked>No</font><td></tr>
<tr><td><P><font color="#FFFFFF" face="Arial" size="2"> </font></P></td><td></td></tr>
<tr><td COLSPAN=2><font color="#FFFFFF" face="Arial" size="2">Contact Information</font></td></tr>
<tr><td><font color="#FFFFFF" face="Arial" size="2">Name (first, last):</font></td><td>
<font color="#FFFFFF" face="Arial" size="2">
<select name="sal">
<option>Mr.</option>
<option>Mrs.</option>
<option>Ms.</option>
<option>Miss</option>
<option>Dr.</option>
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<input type="text" size="15" name="first_name">
<input type="text" size="20" name="last_name">
</font>
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<tr><td valign="top"><font color="#FFFFFF" face="Arial" size="2">Address:</font></td>
<td>
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<input type="text" name="addr1" SIZE=50><BR>
<input type="text" name="addr2" SIZE=50>
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<tr><td><font color="#FFFFFF" face="Arial" size="2">State:</font></td><td><font color="#FFFFFF" face="Arial" size="2"><input type="text" size="50" name="state"></font></td></tr>
<tr><td><font color="#FFFFFF" face="Arial" size="2">Zip:</font></td><td><font color="#FFFFFF" face="Arial" size="2"><input type="text" size="50" name="zip"></font></td></tr>
<tr><td><font color="#FFFFFF" face="Arial" size="2">Country:</font></td><td><font color="#FFFFFF" face="Arial" size="2"><input type="text" size="50" name="country"></font></td></tr>
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<tr><td><font color="#FFFFFF" face="Arial" size="2">Email:</font></td><td><font color="#FFFFFF" face="Arial" size="2"><input type="text" size="50" name="email"></font></td></tr>
</table>
<font color="#FFFFFF" face="Arial" size="2">
<input type="submit" value="Register >>>">
</font>
</form></font></font>
</td>
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