COMPSAC 2001 REGISTRATION FORM |
Peter Wu
Fax: +1 (480) 965-2751
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Registration fee includes admissions to all technical sessions,
a copy of the proceedings,
coffee breaks, conference reception, and banquet.
Student registration fee includes admissions to all technical sessions, a copy of the proceedings, coffee breaks, but excludes conference reception and banquet. |
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IEEE Member or IEEE Computer Society Affiliate Member must include
membership number in order to register at the member rate.
IEEE or IEEE Computer Society Affiliate Membership No. _________________ |
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Student must be IEEE student member in order to register at the
student rate.
IEEE Student Membership No. __________________ |
REGISTRANT INFORMATION |
Name: ___________________________________________________
Last/Family First Middle Initial Affiliation: _________________________________________________ Internal Mailing Address: ______________________________________ Street Address: _____________________________________________ City: ___________________ State: ________ Zip: _________________ Country: __________________________________________________ Telephone: ______________________ Fax: ______________________ Email: ____________________________________________________ |
PAYMENT INFORMATION |
Please pick one method of payment:
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