IEEE 802.16 Session #27 Registration Form

Registration Form: IEEE 802.16 Session #27 (Denver, CO, USA)

Use this form to register for:

IEEE 802.16 Session #27 (8-11 September 2003), or
IEEE 802 Handoff Study Group, Session #3 (8-9 September 2003)

(1) Provide information about yourself, using (a), (b), (c), or (d):

(a) I am an IEEE 802.16 Member:

(b) I am an IEEE 802.16 Observer:

(d) I am not listed above. If you choose (a), (b), or (c), then please do NOT complete (d); instead update your data if appropriate using the Member/Observer form.

Last (Family) Name:
First (Given) Name:
Company/Organization:
Department: Title:
Address Line 1:
Address Line 2:
City:
(USA/Canada only) Other District:
Country: Postal Code:
Telephone: Fax: E-Mail:

(2) Select the action you wish to take:

Register for the Session. Your registration fee will be payable on-site by credit card. The fee will be US$150. [If you previously preregistered by the deadline of August 22, your registration fee will be US$120.] Please cancel your registration immediately if your plans change!
Cancel registration for the Session.

(3) Please answer the following:

Do you plan to stay at the Denver Marriott City Center?No Yes. {If so, you should reserve a room immediately}.

Will you attend the social on Tuesday night? No Yes

(4) Comments:

Confidentiality:

Your name and company may be posted on the publicly-available web site. Detailed contact information for Working Group members is made available to other members.

Please download the registration fee payment form, complete it (in Acrobat Reader, if you wish), print it, and bring it to the session.

Upon submission, you should receive the message "Your form input has been noted. Thank you!"

To confirm your registration, see the preregistration list. Please allow time for the list to be manually updated.

Updated: 1 September 2003

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