Purpose: |
(New
Registration) (Update
Registration Information) |
Name: |
(Salutation) (Given
Names)
(Surname)
(Name Tag will be created using your first and last names given here.)
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Status: |
Presenter Attendee Exhibitor/Sponsor Session
Chair |
Title: |
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Company: |
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Mailing
Address: |
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Paper ID
Number(s):
(NOTE: for papers you are registering, OR papers you are
presenting.)
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Partner
Name: |
(Salutation) (Given
Names)
(Surname) |
Registration Fees:
(7% GST is included.
All amounts are in Canadian dollars)
|
|
Full
Registration - IEEE Member
(NOTE: Required by at least one author on each registered
paper) |
|
Full
Registration - Non Member
(NOTE: Required by at least one author on each registered
paper)
|
|
Attendee
Registration - IEEE Life Member
(NOTE: Attendee only; does NOT include Paper registration)
|
|
Attendee
Registration - IEEE Student Member
(NOTE: Attendee only; does NOT include Paper registration)
|
|
Attendee
Registration - Student Non Member
(NOTE: Attendee only; does NOT include Paper registration)
|
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Partner
Registration ( Full)
(includes all meals and Sunday reception)
|
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Partner
Registration (Lite)
(includes Sunday reception & breakfasts only)
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|
Number
of Extra
Papers for this Registration
(Includes up to 4 pages per paper)
|
|
Total
Number of Extra
Pages
(total for all papers, in excess of 4 pages per paper)
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Extra
Banquet Tickets
|
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Extra
Luncheon Tickets
|
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WORKSHOPS: (All tuition fees are in Canadian funds & include GST) |
|
#1 Fuzzy Neural
Computing Systems
|
|
#2 PSCAD/EMTDC
Transient Simulation
|
|
#3 NMPTC Remote Access
to Advanced Test Labs
|
|
Special Dietary Needs:
|
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Payment Information: (all amounts are in Canadian Dollars) |
|
Total Registration Fees
Due (Canadian): $ |
VISA Mastercard Amex
Please print, fill in information below,
and Fax this form
to: 1-306-966-5567
|
Card
#:___________________________________
Expiry
date:_____/______
Cardholder Name:______________________________________________________
Cardholder
Signature:____________________________________________________
|
Cheque
Print this form, include your
cheque made payable to: CCECE05 and mail
both to:
Registration Office Attn: CCECE05
Extension Division, Room 125 Kirk Hall
117 Science Place
University of Saskatchewan
Saskatoon, SK, Canada S7N 5C8
(Phone: 306-966-5539)
|
(After
printing: click to also
send a
copy of your registration by email)
|
|
(click to clear all form
fields)
|