(SATURN) Conference ADVANCE REGISTRATION FORM

SEI Architecture Technology User Network
(SATURN) Conference
April 27-30, 2015, Lord Baltimore Hotel, Baltimore, Maryland
ADVANCE REGISTRATION FORM - page 1 of 2
Submitters grant the SEI permission to share name, title, and organizational affiliation with other SATURN participants;
by registering, you agree to allow the SEI to use photographs in which you appear, as part of future promotional materials.
First name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Last name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
First name to appear on badge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Organization .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City . . . . . . . . . . . . . . . . . . . . . . . State/Prov/Region . . . . . . . . . . . . . . . . . .
Postal/Zip code . . . . . . . . . . . . . . . . . Country . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Telephone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Twitter user name (optional) . . . . . . . . . . . . . . . . . . . . . . . . .
Emergency Contact:
Emergency contact's name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Relationship to attendee . . . . . . . . . . . . . . . . . . . . . . . . . .
Emergency contact's telephone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Emergency contact's email . . . . . . . . . . . . . . . . . . . . . . . .
I am a
 Repeat attendee
 First-time attendee
I heard about SATURN through
 SEI website
 Word of mouth
 Online advertising
 Previous SATURN
 Other: . . . . . . . . . .
Education:
 High school degree
 College degree
 Advanced degree
# Years experience in software:
 0 - 3 years
 4-6
 7 - 10
 10+
Primary reason for attending SATURN: . . . . . . . . . . . . . . . . . . . . . . .
.............................................. .........
Which of the following best describes the industry in which you work:
 Software development/solution provider
 Defense/security
 Electronics
 Telecommunications
 Insurance
 Automotive
 Training/education/academic
 Energy
 Consulting
 Research & development
 Health care
 Media/publishing
 Financial
 Other: . . . . . . . . . . . .
Which of the following best describes your role in your organization:
 Architect
 Team Leader
 Developer/Software Engineer/Programmer
 Leader of Team Leaders
 Consultant
 Director
 Other: . . . . . . . . . . . .
Special Requirements:
Dietary requests will be accepted until April 22, 2015.
 low-fat
 diabetic
 kosher
 vegetarian
 vegan
 shellfish allergy
 nut allergy
 gluten-free
In compliance with the Americans with Disabilities Act, please note any special needs: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Conference Registration Fee includes three full days of
SATURN Conference presentations and working sessions; morning beverages*, lunch, and breaks on April 28-30; and the evening
reception on April 29.
Course Registration Fee for one-day courses includes one full
day of instruction in selected course and morning beverages*,
lunch, and breaks on April 27.
*Attendees staying within the SATURN hotel-room block
receive a voucher good for breakfast in the hotel restaurant
each day of their stay.
Available Discounts. Employees of U.S. government organizations receive a 25% discount on conference registration and
courses. Eligibility is confirmed by the use of a valid email
address ending in .gov or .mil.
Students at accredited academic institutions receive a 50%
discount on conference registration and, subject to availability,
registration for courses. You will be required to provide proof
of current enrollment with full-time status at an accredited
institution, and you will need to present your student ID and a
government-issued photo ID at check-in to receive your registration materials.
Cancellation Policy. Refund requests received in writing and
postmarked by April 15, 2015, will be processed minus a $25
administrative fee. NO REFUNDS WILL BE GIVEN AFTER
APRIL 15, 2015. If you do not cancel and do not attend, you
will be charged the full registration fee. Substitute attendees
are welcome at no extra charge; however, we request written
notification prior to the conference for preparation of registration materials. For refunds, please allow two to four weeks for
processing after the conference.
Return form with payment to:
SATURN 2015
c/o Registration Systems Lab
779 East Chapman Road
Oviedo, FL 32765 USA
Fax: +1 (407) 366-4138
Register online:
https://regmaster4.com/2015conf/SATURN15/register.php
Registration questions:
Phone: +1 (407) 971-4451
Email: [email protected]
sat15.p1_v7.110714
SEI Architecture Technology User Network
(SATURN) Conference
April 27-30, 2015, Lord Baltimore Hotel, Baltimore, Maryland
ADVANCE REGISTRATION FORM - page 2 of 2
Name of registrant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Email address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Registration Fees:
1st - 25th
26th - 75th
After 75th
registrantsregistrantsregistrant
Conference (Tuesday - Thursday) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $900
$1200
$1500
Course: Big Data—Architectures and Technologies (Monday) . . . . . . . . . . . $500
$500
$500
$ _______
Course: Managing Technical Debt in Software Systems (Monday) . . . . . . .
$500
$500
$500
$ _______
Course: DevOps and Continuous Delivery–Software Architecture,
Security and Interactive Learning (Monday) . . . . . . . . . . . . . . . . . .
$500
$500
$500
$ _______
$ _______
SUBTOTAL:
$ _______
50% discount for students . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . < $ _______ >
25% discount for government employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . < $ _______ >
TOTAL ENCLOSED:
$ _______
The first 25 registrations will receive the super-early-bird pricing. The 26th through 75th registrations will receive the early-bird pricing. All others will receive regular
pricing. If you use the online registration system at https://regmaster4.com/2015conf/SAT15/register.php, you will immediately know your pricing. If you submit this
PDF form via fax or mail, your registration will be processed in the order received.
*** NOTE: Organizations with 3 or more registrants get 10% off the conference registration fee. This group discount may not be combined with other discounts. ***
All registrations must be completed at the same time. Simply contact Mandy Mann ([email protected]) for detailed instructions.
Payment: Please select your payment option. We accept only U.S. currency. The SEI’s federal identification number is 250969-449.
 Corporate/Organization/Government purchase order # . . . . . . . . . . . . . . . .
 Check # . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Make check payable to SEI/CMU and write your organization’s name on it.
.
Discount code (if applicable) . . . . . . . . . . . . . . . . .
 Credit card # . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Card ID code . . . . . . . . . . . . . Expiration date . . . . . . . . . . . . . . .
Cardholder’s name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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