2006 Conference Registration

Please complete the following form. When you click the Review Registration button, you will be taken to our secure server to review your registration and provide payment information. If you would prefer to print and mail or fax a form, please use the printable registration form and mail or fax it to:

IPCC 2006 Registration
c/o Interactive Media Consulting, LLC
480 Broadway Suite 480-C
Saratoga Springs, NY 12866

Fax: 1 518 584 5218

Personal Information

* indicates required fields

Registrant's First Name*
Registrant's Last Name*
Preferred Nickname for Badge
Company/Affiliation
Mailing/Street Address Line 1*
Mailing/Street Address Line 2
City*
State/Province*
Postal/Zip Code*
Country*
Phone*
E-mail*
   
Type of Registrant* Member
Nonmember
Student/Retiree (Proceedings not included)
IEEE PCS Member Number
   
Are you a speaker?* Yes No
Would you be willing to serve as a moderator, if asked? Yes No
Would you like your name printed
on the attendee list?		 Yes No

Conference Registration

Registration Fees

All fees are quoted
in US Dollars		 Early Registration
On or Before September 30 		Regular Registration
After
September 30 		One Day Registration
Members
$500
$620
$220
Nonmembers
$650
$765
$325
Students/Retirees
$175
$175
$100

Registration Type*:
  Regular (After September 30)
  One Day (Monday -- does not include Proceedings)
  One Day (Tuesday -- does not include Proceedings)
  One Day (Wednesday -- does not include Proceedings)
  Proceedings Only

Additions

Awards Banquet Tickets:

Number of tickets to the Banquet at $60 each
Number of children's tickets to the Banquet at $30 each

Note: Banquet tickets are not included in the price of registration.

Join us Tuesday, October 24, at the Saratoga Automobile Museum as we recognize new IEEE Fellow John Carroll and PCS Award winners.

Lunch Tickets:

Number of tickets to lunch at $40 each

Note: One lunch ticket is included with each registration.

Extra Proceedings:
 Number of Proceedings
(Member Rate - $35, Nonmember Rate - $50)

Note: Shipping fees are $5 per copy inside the US and Canada or $15 outside the US/Canada

Extra Information

Do you have any special mobility/hearing requirements?
Do you have any special meal requirements (i.e. allergies, vegetarian, etc.)
Do you have any comments or questions for the committee?

 

 

 

 

IPCC 2006 • 23-25 October 2006 • Saratoga Springs, New York, USA