Fee Payment

Instructions: Please fill-in the information requested in this form, then print this document and mail it with a check to Florida Tech at the address below. Do not bring payment to the contest sites.


Fee:   Today is .

Attendees: teams of three, coaches, total reserves (for all teams), and total additional attendees/guests (for all teams).
For a total of .

Contest site:   (Be aware that sites have team limits; it may not be possible to accept all registered teams.)

Remember: Have the teams been registered at the ICPC site?   In addition, all individuals (team members, coaches, etc.) must be registered with complete information at the ICPC as well. Team member info may be changed at the ICPC site until Friday, 29 October 2010 (one week before the event), but changes in shirt sizes cannot be accommodated after the 9th.

Optional: Consider nominating a contest site and site director for SER 2011. Person: . E-mail: .

Suggested: In addition to mailing the check with this form, click on this button and with the data on this page informing us of your plans.

Print this document, make the check for dollars, make the check payable to: ACM Southeast Region of ICPC. (The federal tax id is 27-2121960.) Mail this form and the check to:

ACM Southeast Region of ICPC
Attn: R Stansifer, Dept of Comp Sci
Florida Institute of Technology
150 West University Blvd.
Melbourne, FL 32901-6975

Please include the name and department on all correspondence to Florida Tech or the mail cannot be correctly distributed within campus.

Address questions or problems to ser2010@cs.fit.edu