AAAI–05 Robot Team Registration Twentieth National Conference on Artificial Intelligence July 9 - 13, 2005 ■ Westin Convention Center Pittsburgh Robot Team Name: _______________________________________________________________________________________________________ Robot Name: _____________________________________________________________________________________________________________ Contact Name: _______________________________________________ Company/Univ.: _______________________________________ Address:_____________________________________________________ Dept./MS: __________________________________________________ City: ________________________________________________________ State: ______________________________ Zip: ____________________ Country: ____________________________________________________ Team is: ■ Exhibitor ■ Competitor ■ Both Daytime Phone_______________________________________________ Fax: _______________________________________________________ E-mail Address ___________________________________________________________________________________________________________ Robot Team Agreement The Robot Team agrees to comply with any applicable laws, regulations, or ordinances of AAAI–05, Pittsburgh, Pennsylvania and the Westin Convention Center Pittsburgh. This contract shall not be binding unless and until it is accepted in writing by AAAI. Read and accepted by: (signature): ________________________________________________________________________________ (print name): ________________________________________________________________________________ Date: ________________________________________________________. 2005 Amount Enclosed The robot registration cost is $250.00 USD per team. Payment is due on or before 2 May 2005 (if you want to include an abstract in the proceedings) or 31 May 2005 (no abstract will be published). All payments are nonrefundable. A one time fee of $250.00 will be charged for teams from the same institution and working on the same robot in the case of multiple entries. Method of Payment (Check One): ■ MC ■ Visa ■ Amex ■ Check (payable to AAAI and drawn on a US Bank) ■ US Govt. PO Card Number ________________________________________________________________________ Exp. Date ________________________________ Name (as it appears on card) ________________________________________________ Signature ___________________________________________ Send with payment to Robot Team Registration, American Association for Artificial Intelligence, 445 Burgess Drive, Suite 100, Menlo Park, CA 94025-3442 650 / 328-3123; Fax: 650 / 321-4457 Early Registration Deadline: 2 May 2005 Late Registration Deadline: 31 May 2005