Thanks for joining us at Tcl/Tk 20012!

 Please fill in the data.

 Print the form and fax it to 734-449-8467, or mail it (if you wish to
 pay via check) to

  Tcl Community Association
  8888 Black Pine Ln
  Whitmore Lake, MI 48189

Honorific (Mr. etc):  ________________________________________

First Name:           ________________________________________

Last Name:            ________________________________________

Company/Affiliation:  ________________________________________
  
Street Address 1:     ________________________________________

Street Address 2:     ________________________________________

City:                 ________________________________________

State/Province:       ________________________________________

Zip/Post:             ________________________________________

Country:              ________________________________________

Phone (optional):     ________________________________________

e-mail:               ________________________________________

Card Type:            ________________________________________

Credit card number:   ________________________________________

Exp date (as MMYY):   ________________________________________


  If the name on the credit card is not the attendee:

Name on card:         ________________________________________


Technical Sessions:  ______ (Y/N)


  Tutorials: 
  Monday AM
Intro To Tcl I (Flynt)      [ ] Y/N
Tips of a Master (Woods)    [ ] Y/N
  Monday PM
Intro To Tcl II (Flynt)     [ ] Y/N
Web Services (Lester)       [ ] Y/N

  Tuesday AM
Intro To Tk I (Lester)      [ ] Y/N
Advanced Tcl (Flynt)        [ ] Y/N

  Tuesday PM
Advanced Tk (Hobbs)         [ ] Y/N

Extra CD:             ___________________

Printed Proceedings:  ___________________

Discounts:            ________________________________________
  {student/presenter}

Total amount:         ________________________________________