2001 IEEE I&CPS Technical Conference Registration Form Hyatt Regency - New Orleans, Louisiana May 13 - 17, 2001 |
Full Registration: Technical Sessions, Conference Record, Monday Reception, Tuesday Night Cajun Party, Wednesday Awards Luncheon
One-Day Registration: Technical Sessions for day selected, Monday Reception
Life Members/Students: Technical Sessions only
REGISTRATION CATEGORY |
In Advance Before April 15 |
At Conference After April 15 |
|
A1. Full Registration - IEEE Member | $300 | $365 | $______ |
A2. Full Registration - Non Member | $375 | $460 | $______ |
A3. One-Day Registration - IEEE Member...[select Monday .. Tuesday .. or Wednesday ] | $175 | $200 | $______ |
A4. One-Day Registration - Non Member....[select Monday .. Tuesday .. or Wednesday ] | $220 | $250 | $______ |
A5. Life Member | $0 | $0 | $______ |
A6. Student | $0 | $0 | $______ |
ADDITIONAL ITEMS | |||
B1. Additional Conference Record - IEEE Member | $50 | $50 | $______ |
B2. Additional Conference Record - Non Member |
$75 | $75 | $______ |
B3. Additional Monday Welcome Reception | $15 | $20 | $______ |
B4. Additional Tuesday Night Cajun Party | $45 | $50 | $______ |
B5. Additional Wednesday Awards Luncheon |
$40 | $45 | $______ |
B6. Monday Thermal Energy Plant Technical Tour |
$10 | $10 | $______ |
B7. Monday River Road Plantation Guest Tour | $75 | $75 | $______ |
B8. Tuesday N.O. School of Cooking Guest Tour | $45 | $45 | $______ |
B9. Wednesday Swamp & Bayou Guest Tour |
$40 | $40 | $______ |
Total Amount Enclosed..... |
$______ |
Check if: |
IAS Member _____ IEEE Fellow _____ |
IAS Officer _____ IEEE Life Member _____ |
IEEE Officer _____ Student _____ |
Author _____ |
Name _________________________________________ IEEE Membership Number _____________ Badge to Read _____________________________________________________________________ Company Affiliation _______________________________________________________________ Street Address ____________________________________________________________________ City ________________________________________ State _____________ Zip _____________ Country ___________________________________________________________________________ Telephone _________________________________ Fax __________________________________ Email _____________________________________________________________________________ Guest Name ________________________________________________________________________
Make checks in US Dollars payable to "IEEE 2001 I&CPS"
Visa ______ | Master Card ______ | American Express ______ |
Card Number ______________________________________________Expiration Date ____________
Name as it appears on card _____________________________________________________________
Send the completed form, with payment to: Fax: 504-248-7706 email: catherine.nussbaum@bridge.bellsouth.com |
Catherine Nussbaum, Registration Chair Rm 166A, 6767 Bundy Road New Orleans, LA 70127 |
No refunds will be made for cancellations after April 15, 2001 -- A $50 fee will be assessed on all cancellations prior to April 15, 2001.