IAS2000 Annual Meeting

Tentative On – line REGISTRATION FORM

October 8-12, 2000 – Sheraton Roma Hotel (Italy) (Headquarter Hotel)

 

IEEE Travel and Conference Management Services Department, ITCMS
ATTN: IAS 2000 Registrar
445 Hoes Lane, P. O. Box 1331, Piscataway, NJ 08855-1331, USA

Fax: 1-732-981-1203 mtg-reg-serv@ieee.org
1-800-810-4333 or 1-732-562-3878 (Conference)
1-800-678-4333 (General IEEE)

 (Please complete this form using capital letters.) Use a separate form for each registrant.

NAME:

COMPANY:

STREET ADDRESS:

CITY: STATE:

ZIP: COUNTRY:

PHONE: FAX:

E-MAIL ADDRESS: 

COMPANION NAME:

 

MEMBERSHIP: 

(IEEE/IAS/IEE/IEEJ/AEI/EPE/NONE)   MEMBER NUMBER:

 

Registration Fees

Received Before

April 1

Received Before

July 31

Received After

July 31
TOTAL

Full Registration (Admission to technical sessions, copy of CD Proceedings, access to exhibit, Welcome Reception, Exhibitor’s Reception, Awards Luncheon, President’s Banquet, coffee - breaks)

USD 500 member

USD 600 non-member

USD 550 member

USD 650 non member

USD 700 member

USD 800 non-member

One Day Registration (Please check which day)

USD 300 member

USD 400 non-member

USD 350 member

USD 450 non-member

USD 400 member

USD 500 non-member

Student Registration (includes M Zucker Lunch, copy CD conference Proceedings, Exhibit)

USD 50

 

USD 50

 

USD 50

 

Life Member IEEE

USD 50

USD 50

USD 50

Companion

USD 150

USD 150

USD 150

Total Reg Fees:

ADDITIONAL OPTIONS

Number

Fee

Proceedings (additional Copy) Hard copy  

 

To be defined

Proceedings (additional Copy) CD - ROM

 

To be defined

Sunday, October 8  -Welcome Reception

 

USD 60

Monday, October 9 -Exhibitor’s Reception

 

USD 30

Tuesday, October 10 - Awards Luncheon

 

USD 50

Wednesday, October 11 -President’s Banquet

 

USD 70

Total Remittance

 

CREDIT CARD INFORMATION: 

TYPE (Visa, M/C, AMEX, Diner's Club): 

CARD NUMBER:

CARD HOLDER'S NAME (Exactly as shown on card): 

EXPIRATION DATE: Today's Date:

 

Note:  Do not submit credit card information over this unsecure site. IEEE will later move this page to a secure site!

 MAKE WIRE  TRANSFER PAYABLE TO:  

CONFERENCE BANK NAME: Fleet Bank Boston, Massachusetts

BANK ACCOUNT NUMBER: 845 900 1469

BANK ACCOUNT NAME: IEEE Travel Services

ABA#: L011 000 138

Important Information * Hotel Registration Form

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File: iasconfregform.html Updated: Sep 2, 1999 by m.padgett@ieee.org