2006 Robot Team Registration

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2006 Robot Team Registration
Twenty-First National Conference on Artificial Intelligence
July 16 – 20, 2006 ■ Seaport World Trade Center Complex
Boston, Massachusetts
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–06, Boston, Massachusetts, and the
Seaport World Trade Center. This contract shall not be binding unless and until it is accepted in writing by AAAI.
Read and accepted by:
(signature):
________________________________________________________________________________
(print name):
________________________________________________________________________________
Date:
________________________________________________________. 2006
Amount Enclosed
The robot registration cost is $250.00 USD per team. Payment is due on or before April 25, 2006 (if you want to include an abstract in
the proceedings) or May 22, 2006 (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
Deadline (Abstract): 25 April 2006
Final Deadline (No Abstract): 22 May 2006
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