Media Pre-Registration Form

Please complete the application below and submit required documentation via mail or fax

This is not an online form -- please print it, fill it out, then fax or mail it to the address below.

R. Stevens
CHI 2000 Media Relations
c/o Ace Public Relations
366 Iris Way
Palo Alto, CA 94303

Tel: +1 650-494-2800
Fax: +1 650-494-2891
E-mail: chi2000media@Publicizeit.com

	Name
	Title
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	Address
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	Phone
	Phone
	Fax
	Email
	Your URL
	Check media in which you are active:		[ ] Television [ ] Print [ ] Radio [ ] Online [ ] Wire Service [ ] Newsletter [ ] Trade Publication [ ] Freelance Journalist [ ] Consumer Publication
	How did you learn about CHI2000?

What Next?

You will receive notification of your registration status from Ace Public Relations within two weeks of receipt of your application. The CHI 2000 press badge, which will be available for pick-up on-site, will admit working media, free of charge, to all exhibits, keynotes, conference sessions, special events and press-only events on a space available basis.

For more information about CHI 2000 or the field of Human-Computer Interaction, please contact Ace Public Relations at: chi2000media@PublicizeIt.com