Robot Team Registration
Twenty-Fourth AAAI Conference on Artificial Intelligence
July 11 – 15, 2010 n Westin Peachtree Plaza
Robot Team Name: ________________________________________________________________________________________________________
Robot Name: _____________________________________________________________________________________________________________
Contact Name: _______________________________________________ Company/Univ.: _______________________________________
Address: _____________________________________________________ Dept./MS:___________________________________________________
City: ________________________________________________________ State: ______________________________ Zip: ____________________
Country: ____________________________________________________ Team is:
n Exhibitor
n Competitor
n 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–10, Atlanta, Georgia, and the Westin Peachtree
Plaza. This contract shall not be binding unless and until it is accepted in writing by AAAI.
Read and accepted by:
(signature):
________________________________________________________________________________
(print name):
________________________________________________________________________________
Date:
________________________________________________________ 2010
Amount Enclosed
The robot registration cost is $250.00 USD per team. Payment is due on or before June 15, 2010. 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):
n MC
n Visa
n Amex
n Check (payable to AAAI and drawn on a US Bank)
n US Govt. PO
Credit Card Number: _____________________________
Expiration Date: ______________________
Name on Card: __________________________________
Card Verification Number:* ____________
Business Name: _________________________________
Signature: ____________________________
Credit Card Billing Address: _______________________________________________________________
*The card verification number on Visa
and Mastercard is a 3-digit number
printed on the back of your card. It
appears after and to the right of your
card number. On American Express
cards, the verification number is a 4digit number printed on the front of
your card. It appears after and to the
right of your card number.
Send with payment to
Robot Team Registration
Association for the Advancement of Artificial Intelligence
445 Burgess Drive, Suite 100
Menlo Park, CA 94025-3442
650 / 328-3123;
USA
Fax: 650 / 321-4457
Deadline: June 15, 2010