Request for Visa Assistance for CSF 2009

Please Print or Type All Information Name: Email address: Conference Title: 22nd IEEE Computer Security Foundations Symposium Conference Dates: July 8-12, 2009 Conference Location: Danfords Hotel, Port Jefferson, NY 11777, USA Are you an IEEE Member? Yes No

If yes, provide your IEEE Member Number: _______________ Are you a speaker/presenter? Yes No

If yes, title of your paper, or name of session in which you will speak: ____________________________________________ Are you a CSF 2009 committee member? Have you paid the CSF 2009 registration fee? Yes Yes No No

Important Note: In accordance with IEEE Computer Society policy, visa letters will be issued only to: a. Speakers/Presenters, b. CSF Committee Members, c. Attendees who have paid their registration fee in full and are not from one of the countries embargoed by the U.S. Treasury Departments Office of Foreign Assets Control, d. Researchers personally known to and recommended by CSF Committee Members and approved by the General Chair. Additional information can be found on the U.S. Department of State Bureau of Consular Affairs Visa Services Web Site - http://travel.state.gov/visa/index.html.

To what post office address should the letter be mailed? Street: City: State/Province: Postal Code _________________ Country: E-mail: Send the completed form by mail, email, or fax to: Scott D. Stoller Computer Science, Room 1429 Stony Brook University Stony Brook, NY 11794-4400 USA Phone: 631-632-1627 Fax: 631-632-7502 Email: stoller@cs.stonybrook.edu