IMTC/97 Registration

IEEE Instrumentation and Measurement Technology Conference
Chateau Laurier Hotel, Ottawa, Ontario, Canada
May 19-21, 1997

IMTC/97 registration includes technical sessions, conference proceedings, special presentations, lunch each day and Tuesday evening gala. ALL AUTHORS ARE REQUIRED TO PAY FULL REGISTRATION. Authors of papers accepted for publication in the Conference Proceedings must pay fees when papers are submitted for publication or their paper(s) will not be printed in the Proceedings.

(please print)
First Name______________________ Last ____________________________________________________
Name____________________________________Company_______________________________________
Dept___________________________________________
Mailing Address___________________________________________________________________________
_____________________________________________________________________________
Telephone_________________ Fax____________________ E-mail_______________________

All Fees are Payable in US Dollars
(*Registration fee for authors includes up to two papers presented; additional papers per author are $50 each unless papers are covered by fees paid by co-author)

Conference


Member            $350 to March 31, 1997*            _____ IEEE Member# ______________     
                  $395 after March 31, 1997*         _____
                  $200 One-day to March 31, 1997     _____      
                  $250 One-day after March 31, 1997  _____      
Non-Member        $395 to March 31, 1997*            _____      
                  $445 after March 31, 1997*         _____
                  $250 One-day to March 31, 1997     _____       
                  $290 One-day after March 31, 1997  _____          
Student/Life Member    $50 (tech sessions only)**    _____ 
(**does not include the boat and banquet evening or the Proceedings)
Additional lunch tickets $20 each                    _____
Additional boat and banquet tickets $60 each         _____

TOTAL U.S. DOLLARS                                  $_____
Method of payment:
o American Express o Visa        o MasterCard    o Travelers Check
o Check            o Money order o Bank transfer   ($25 additional for bank fees)
Make checks payable to IMTC/97
Credit Card # __________________ Expiration Date ______________

Signature ______________________

Remit payment and completed form to:
IMTC/97 Registration

3685 Motor Ave, #240
Los Angeles, CA 90034-5750 USA
or fax: (310) 287-1851

Cancellation of advance registration must be received in writing by May 1, 1997 to receive a refund less a $50 service charge. No refunds will be available after May 1, 1997

Sponsored by: IEEE Instrumentation and Measurement Society and IEEE Ottawa Section