REGISTRATION FORM (Please print and fill)
2nd IEEE Workshop on Computational Advances in Multisensor Adaptive Processing
Dec 12-14,
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.
If you cannot use a credit card for payment, please contact Prof. Dianat for an alternative arrangement.