Registration


Registration Form

Technical Digest Form

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On-line Registration
  1. If you wish to register off-line or make changes to an existing registration, please use the PDF Registration Form
  2. Complete the form below.
  3. Select the Payment Button corresponding to your preferred payment method. Please note that registration is executed as soon the selected payment button is pressed.
  4. Credit Card information will be collected after submitting via the "Credit Card" button (Visa or MasterCard ONLY).
(* denotes a required field)

* Region:
* Institution:
* Salutation:
Gender:

* First/Given Name:
* Last/Family Name:
* Degree: (Ph.D., Sc.D., Dipl.-Ing., etc.)
* Nametag:
(first name or nickname...as you wish it to appear on your nametag)
* Title/Position:
* Organization:
Department:
Division:

* Address:
* City:
State/Province:
* ZIP/Postal Code:
* Country:

(include country code before phone and fax numbers, i.e. +1-800-555-1212)
* Phone:
Fax:
* Email:

IEEE Member Number: (*required for member discount)
IEEE Society:

Advisor's Name: (*required for student discount)
* Classification: Conference Presenter and Author -- Paper Number
Author
Participant
(Each paper, in order to be published in the conference proceedings and final program, requires at least one author to be registered as an attendee. Please enter paper number(s) above.)
* Include email address on participant's list for all conference attendees?


* Provide name and contact information to commercial supporters and conference attendees?


Special Requirements
Dietary:
Physical:

How did you hear about the MEMS 2011 Conference?


* Registration Type

Full Conference Fee Early Bird
On or Before
16-NOV-2010
 Advanced
17-NOV-2010 to
30-NOV-2010
 Standard
1-DEC-2010 to
14-JAN-2011
 On-Site
After
14-JAN-2011
IEEE Member1 $590 $690 $790 $890
IEEE Non-Member $790 $890 $990 $990
Student2 $550 $590 $690 $825
Benefactor Code:
1With IEEE Member Number, 2With Student Advisor's Name


Daily Conference Fee
IEEE Member1 $400 Which Day(s)?
IEEE Non-Member $500 Mon  Tue  Wed  Thu
Student2 $350
1With IEEE Member Number, 2With Student Advisor's Name


Additional Purchases

Technical Digest
Hard Copy technical digests will be for sale until Thursday, December 30, 2010 and will be shipped out after the conference. To order your technical digest, please complete the Hard Copy Technical Digest order form (new window and separate payment).

Additional Conference Banquet Ticket (1 ticket is included in the conference fee, unless a Daily Registrant)
Cost per ticket: @ $85
Name of Guest (if applicable; comma separated list if more than one)
First and Last Name


Pre-registration will close on January 14, 2011. After January 14, 2011, all prospective attendees will register on-site at the standard rate.

Registration payment, in US Dollars (USD) only, is due within 10 days of receipt of your registration. Registration is not valid or complete until payment is received unless other arrangements are made. The registration fee includes program material, (1) Soft-Copy technical digest, exhibit hall access, welcome reception, Wednesday Conference Banquet, lunches, refreshment/coffee breaks, and a 20% non-refundable cancellation fee. A $50 fee will be charged for all substitutions. All requests for refunds must be received in writing no later than January 14, 2011. No refunds will be made after this date. PLEASE NOTE: The Wednesday Evening Conference Banquet IS NOT included in the price of a daily registration.

* I agree to the above Cancellation Policy


   

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