NNSP Registration Form

This NNSP'99 Registration Form is strictly for new registrations. If you already registered and want to make changes please email Ms. Jean Stover at stover@engr.wisc.edu.

Please complete all required* fields of this form.

Registration Information

Title:
Last Name: *
First Name: *
Middle, Initial:
Name to appear on badge (max. 15 characters): *
Affiliation: *
Adreess (line 1): *
Adreess (line 2):
City: *
Postal Code: *
Province:
Country: *
Telephone no.: *
Fax no.:
Email: *


Registration Fee

Registration fee includes: one copy of the conference proceeding, three breakfasts and lunches, one banquet, and one reception ticket.

Do you prefer vegetarian food?

Note, cancellation made before June 30, 1999 will receive 80% refund. No refund will be made after that date.

Types of registration IEEE member Non-member
Advanced Registration until June 30, 1999 US$ 300 US$ 400
On-site registration US$ 400 US$ 500

IEEE member no. (needed to qualify for member rate):
No. of extra copies of the proceedings at US$ 50 each (one copy is included in the registration):
No. of extra banquet tickets at US$ 40 each (one ticket is included in the registration):
Total Payment (US$): *


Payment Method

Credit Card (submitting info electronically):
Credit Card (submitting info by FAX or mail):
Check:

In case of electronic Credit Card payment please fill in:

Type of Credit Card:
Card Number:
Expiration (mm/yy):
Name as appearing on card:


Submission of Registration Information

After completing the forms above submit the information by clicking the submit button below:

          

Please be patient if you do not receive an immediate response after pressing the submit-button. You might experience a slow network connection or the conference web site might be busy.
WARNING: Pressing the submit-button twice will result in double-registration.