|
| Tutorials will receive IEEE accreditation for CEU | |
| * | Workshop Registration includes proceedings, lunches and reception. |
| ** | Early Bird: Registered before March 18, 2005. |
| *** | Limited number of student registrations available. |
Date: __________________________
Name: _______________________________ Company: _________________________________
Mailing Address: _________________________________________________________________
Phone: ______________________________ Fax: __________________________________
E-mail: ___________________________________________
Member Yes
No IEEE or AIChE Membership #:
___________________________________
Credit Card type: ______________ (VISA, MC, AMEX)
Card #: _________________________________________ Expiry Date (mo/yr): ___________
Card Holder's name: _____________________________________________
Signature: ___________________________________ Payment amount (CAD) : ___________
Do you intend to
stay at the Workshop designated hotel? Yes
No (Info
Only - Make reservations directly with Hotel)
If not prepaid, please confirm attendance before March 31, 2005 with Sharon Pirnak, APCregistration@udtech.com or 604-214-9248, to hold your space. Make your payment by cheque payable to: IEEE APC2005 Workshop and send with completed registration form to:
|
IEEE
APC2005 Workshop c/o Sharon Pirnak
Universal Dynamics, 100-13700 International Place, Richmond, BC V6V 2X8 Phone: 604-214-9248 Fax: 604-214-9249 |