You may submit the form below for registration. You
may also download a printable version and return it (or FAX it) completed with your registration fee to: Karen Kuiper,
6446 Tucker Ave.
McLean, VA 22101
USA.
(from October 1-November
25 - FAX: 703-790-9520)
Your hotel reservations should be made directly with the hotel,
preferably before November 10, 2002.
Conference registration will also be held at the conference on Wednesday evening
and Thursday all day.
Conference Banquet Menu Entrée Choices
To
be determined...
For Your Badge:
Name:
Company:
Conference Banquet:
Banquet
Meal
Choice:
Beef Entrée
Fish Entrée
Vegetarian Entrée
Will not attend*
*No banquet refunds!
Extra Guests: @ $50.00 each
Guest name for badge:
Your Contact Information:
Name
Company:
Address:
City:
State:
Zip:
Country:
Phone:
FAX:
E-mail:
Registration Fees:
Registration
rec'd. by 11/1/2002
Registration
rec'd after 11/1/2002
IEEE Member #
$350
$400
Non-Member
$410
$460
Student (University)
$250
$300
Payment Options
Please note: On-line registration must
be submitted before November 15, or we will not have time to
process it before the conference starts.
Payment must be received by November
1,
in order to receive the reduced registration fee.
Refund
Policy: Registration Fees are after
November 1.
Credit Card
No: Credit Card Type
: (Mastercard or Visa) Exp. Date:
(mm/yyyy)
This information is not encrypted.
Credit cards purchases
are protected from abuse, even without encryption. ONLY MasterCard and Visa
accepted. If you prefer, download this
form, complete it and fax it to Karen Kuiper .
Check - preferred
payment method- mail so it arrives no later than November
15. ·Checks should be made payable to IEEE
2002 SISC.
Checks must be in US Dollars and drawn from a bank with US offices.
If foreign financial instruments are used (e.g., Eurotech), please add a $35 processing
fee. ·