REGISTRATION FORM (Please print and fill)

2nd IEEE Workshop on Computational Advances in Multisensor Adaptive Processing

Dec 12-14, St. Thomas, US Virgin Islands

 

Name _________________________________________________ 

IEEE Membership Number _______________________________

Affiliation ______________________________________________

Address _______________________________________________ 

City _______________________________   State __________

Zip or postal code_________________        Country ________

Phone __________________________        Fax ____________ 

E-mail __________________________ 

Title(s) of paper(s) being covered by this registration ___________________________________________

________________________________________________________________________________________

Registration category (please circle one)

Early registration (By November 20, 2007)*

USD

 IEEE Member

$425.00

Non-Member

$595.00

IEEE Student Member

$250.00

Student Non-Member

$380.00

Late registration (After November 20, 2007)

 

 IEEE Member

$550.00

Non-Member

$725.00

IEEE Student Member

$330.00

Student Non-Member

$460.00

 

 

 

 

 

 

 

 

 

 

 

* For a paper to appear in the proceedings of the workshop, at least one author should register at the full rate by November 10, 2007.  Registration covers a copy of the CD-ROM proceedings, reception, banquet and two lunches.

 

Please charge the credit card below:

Name on Card (please print): ______________________________________________________

Billing address: _________________________________________________________________

______________________________________________________________________________

 

(Circle One)    Visa   MasterCard     Card Number: _______________________________

Expiration date    __________________      Amount ________________________________

I agree to pay the above amount as per the cardholder agreement.

Cardholder signature:

____________________________________________________

 

Mail, FAX or email scanned copy to: Prof. Sohail Dianat, Electrical Engineering Department, Rochester Institute of Technology, 79 Lomb Memorial Drive, Rochester, NY 14623 USA. FAX no: 1-585-475-5845. Email: sadeee@rit.edu.

If you cannot use a credit card for payment, please contact Prof. Dianat for an alternative arrangement.


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