W3C Web Accessibility First Interest Group Meeting

April 6, 1997 - Santa Clara, California

REGISTRATION FORM

Attendance - W3C Members and Invited Guests

Please contact <Daniel Dardailler> if you have questions about your eligibility.

Registration Alternative: ASCII Text

	        
First Name:     
Last Name: 	
Title:	        *
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Address2:       *
City:           
State:           (or province, etc.)
ZIP:             (or postcode, etc.)
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Email:		
Phone:		
Fax:		*
URL:		*

Meals

I would like meals.

Special Services

  Interpreter Needed: (Check One) 
        Oral 
        Sign Language
        None

  Adapted Program: (Check One)
        Braile Program
        Large Print Program
        Disk (ASCII)
        None

The WWW6 Conference Committee is kindly offering an extension of the early bird registration rate to those attending (including speakers) the WAI event. Please complete this section to receive the early bird discount.

This does not qualify as registration to the WWW6 Conference.

Do you plan to attend the WWW6 Conference ? (Check One)
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         no

*Optional. (All fields not marked with an asterisk [*] must be filled in, except that ZIP and State are optional if you're not in the USA.)