User Interface 6 East
Registration Form for Individuals

(Group registration will be available after July 9.)

Excellent! We're delighted you'll be joining us. Please complete the following information and submit it when you're done. * Note: This is not a secure server. If you don't want to give credit card information over the web, please fill in the other information below and then call our office at (800) 588-9855 (within the US and Canada) or (978) 374-8300 and leave your name, card number, and expiration date with our receptionist or on our secure voicemail system.

If you do not receive confirmation and directions within seven business days, please call us at (800) 588-9855 (within the US and Canada) or (978) 374-8300.

Review conference prices

1. Please provide the following contact information:
    *required fields

Attendee's full name (for badge):*
E-mail (to send confirmation):*
Job title:
Company/Affiliation (for badge):*
Address:*
Address (continued):
City:*
State/Province:
Zip/Postal code:
Country:
Address above is:	Business Home
Daytime phone:*
Fax:

2. Please provide the following payment information:
(To receive the special 4-day rate of $1499, payment must be received by July 9.)

If you're paying by credit card:

Note: This is not a secure server. If you are not comfortable giving credit card information over the Internet, please complete the contact information above, select the "I'll call you" payment method below, and call User Interface Engineering at (800) 588-9855 (within the US and Canada) or (978) 374-8300 between 9:00 a.m. and 5:00 p.m. Eastern Time. Give your name, company, phone number, card number, expiration date, and cardholder name. After hours, you may leave the information on our secure voicemail system.

Payment method:	American Express Visa Mastercard Discover I'll call you with my credit card info
Card number:
Expiration date:
Cardholder name:

If you're paying by authorized, net-15 purchase order:

PO number:
Account name:

If you're paying by check:

Check number:
Important: Payment is due before the conference begins. Make your check payable to User Interface Engineering. Mail your check to: User Interface Engineering 242 Neck Road Bradford, MA 01835

3. If you received a promotion code, please enter it here. Any reduction in your total bill will be made before you are charged.

Promotion code:

4. Decide what you're going to attend.
(Review conference prices return using the "Back" button)

5. If you're attending any of the full-day seminars, please mark your choice(s).

Monday, October 1:
(choose only one)

	Driving Real Innovation With Customer Data — Karen Holtzblatt
	Advanced Usability Testing Methodology — Rolf Molich
	Usability of Web Sites on Wireless Devices — Mark Pearrow
	Information Visualization — Ben Shneiderman and Catherine Plaisant
	None

Wednesday, October 3:
(choose only one)

	Taking Control Back from the Inmates: Using Goal-Directed® Design to Create Cool Stuff — Kim Goodwin
	Okay, It's Usable - But, is it Useful? Using the Power of Market Research to Drive the User Experience — Mitch McCasland, Nicole Davis, and Kate Eberhardt
	From Construct to Structure: Information Architecture from Mental Models — Peter Merholz and Jeffrey Veen
	Common Look and Feel: Cross-Product UI Design for Web Sites and Applications — Kevin Mullet and Erric Solomon
	None

6. If you will be attending on Tuesday or Thursday and have any special dietary needs, please tell us:

no special dietary needs
vegetarian
other:

7. How did you hear about this year's conference?

e-mail
postal service mail
uie.com
uiconf.com
previous conference site
Eye For Design newsletter
radio ad
boss/colleague/co-worker/word-of-mouth
other (please specify: )

8. Submit your registration form. Thanks!