Registration Form – ACCV’98                                           

Third Asian Conference on Computer Vision
Hong Kong, January 8-10, 1998

Surname:_____________________ First name: _________________________Title:_____________

Organization/Institution:______________________________________________________________

Address:	_____________________________________________________________________________

	_____________________________________________________________________________

Phone:___________________ Fax: _____________________ E-mail:_________________________

Conference fee (please check the appropriate box):

IEEE-Member*(without banquet)				[ ] HK$ 2,400 (US$ 310)
IEEE-Member*(with banquet)				[ ] HK$ 2,800 (US$ 360)
Non-Member (without banquet)				[ ] HK$ 2,800 (US$ 360)
Non-Member (with banquet)				[ ] HK$ 3,200 (US$ 410)
Student**						[ ] HK$ 1,400 (US$ 180)

*IEEE membership number: ______________________________

**Student fee does not include conference reception and banquet. To receive the student rate, students are required to obtain his/her advisor’s signature:

Advisor’s name: _________________________Signature:_________________________

Conference fee includes admission to the conference, a copy of proceedings, coffee breaks, cocktail reception. A conference banquet will be held in the evening on January 9, 1997.

Extra banquet ticket			[ ] Number of tickets ______ x HK$ 500(US $65)

Total payment: _________________________________

Please return this form together with payment to (by Post/Fax):
		ACCV’98
		Department of Computer Science
		HK University of Science and Technology
		Clear Water Bay, Kowloon
		Hong Kong
		Tel. No: +852 2358-7003, Fax: +852 2358-1477

Method of payment:
(I) Telegraphic Transfer
The amount can be wired to the following bank and account
Bank name:		Hang Seng Bank Limited
Branch:			Head Office
Bank Account no.:	024-262-324999-001
Bank Account Name:	The Hong Kong University of Science and Technology
Bank Address:		Hang Seng Bank Limited
			Head Office
			83 Des Voeux Road Central,
			Hong Kong

Please ensure to provide us with the following information, so that we can identify the payment precisely.
1.	Name of the registrant
2.	Amount credit to our bank account
3.	Date of making the telegraphic transfer payment
4.	Nature of the payment, i.e. registration fee for ACCV conference	
Note: Service Charge should be on application’s account

(II) Payment by credit card
(*delete where inappropriate)
Please debit the *Visa/Master/AmericanExpress card the total amount of
*HK$/US$:______________________________

Card No.:________________________________

Expiry Date:______________________________

Card Holder Name:______________________________(in block letters)

Signature:_________________________________
Please state the name of registrant(s) if it is different from the card holder

(III) Payment by money order or bank draft (by Post):
	Payable to the Hong Kong University of Science and Technology

Please return this form together with payment to (by Post/Fax):
		ACCV’98
		Department of Computer Science
		HK University of Science and Technology
		Clear Water Bay, Kowloon
		Hong Kong
		Tel. No: +852 2358-7003, Fax: +852 2358-1477