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