ICMTS 2000 ADVANCE REGISTRATION FORM

Please circle the correct registration fee. Remember to add 5%, if you are paying by credit card
 
 

name

affiliation

address

address

city/state/zip/country

phone fax

email address

IEEE member no.

Payment for registration may be made by check (U.S. Dollars on a U.S. bank) or credit card.

Payment method: MasterCard /Visa

Credit Card Number: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Expiration Date: __ __/ __ __/ __ __
 
 

Make check payable to ICMTS 2000 drawn on U.S. Bank Only, please indicate registrant's name on the check

Mail registration form and payment to: ICMTS 2000, 101 Lakeforest Blvd., #400-B, Gaithersburg, MD 20877 USA


 



 
 
 
 
 
 
 
 
ADVANCE
REGULAR
(received by
(after February 14
February 14)
and on-site)
Technical Session
IEEE Member
$375
$435
Non-Member
$425
$485
Student 
$260
$310
Short Course (ADVANCE Registration Only)
Member/Non-Member
$250
$250
Student
$125
$125
Other
Extra Digest
$75
$75
Extra Banquet Ticket
$75
$75
Tour-Wonders of Monterey
$35
$35
Credit Card Payment +5%
TOTAL DUE
$__________
$__________

 
 
 
MAIL COMPLETED REGISTRATION FORM WITH PAYMENT TO:

ICMTS 2000

101 Lakeforest Blvd., #400-B

Gaithersburg, MD 20877

Phone: 301-527-0900 x104

Fax: 301-527-0994