IEEE Central Indiana Section - Registration Form

CIS-IEEE On-Line Member Info Form

Who are you?
Your Name:            
Company:              
Your E-Mail Address:  
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Fax Phone #:          


What Societies do you belong to?
 Power Engineering
 Signal Processing
 Engineering in Medicine and Biology
 Magnetics
 Communications
 Computers
 Other, if checked, please describe below:
Other: 

Please check if you want your name removed 
from the Central Indiana Electronic Mailing 
List for a particular society:
 Power Engineering
 Signal Processing
 Engineering in Medicine and Biology
 Magnetics
 Communications
 Computers
 Other, if checked, please describe below:
Other:

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Updated 08/16/98