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IFIP/IEEE*
International Conference on |
Formulaire en francais |
Registration Form
Participant : First name : ____________________________________ Last name : _________________________________________ Affiliation : _______________________________________________________________________________________ Address : ________________________________________________________________________________________ City : _____________________________________ Country : ______________________________________________ Postal code : _______________________________ E-mail : ________________________________________________ Telephone : ________________________________ Fax : __________________________________________________ Special needs : ____________________________________________________________________________________ |
Registration
Fee |
Fee |
EXTRA |
EXTRA |
TOTAL |
Until May 23, IEEE member (Authors: until June 12) | CAN $685 |
60$ |
90$ |
|
Until May 23, non-member (Authors: until June 12) | CAN $740 |
60$ |
90$ |
|
After May 23, member IEEE (Authors: after June 12) | CAN $740 |
60$ |
90$ |
|
After May 23, non-member (Authors: after June 12) | CAN $795 |
60$ |
90$ |
|
Student, Until May 23 (Authors: until June 12) | CAN $285 |
60$ |
90$ |
|
Student, After May 23 (Authors: after June 12) | CAN $340 |
60$ |
90$ |
* CRIM membership credit is not applicable for
this conference
* No tax credits are applicable for this conference
* No reimbursement will be allowed
All prices are in Canadian dollars, cheque, money order, VISA or
Master Card payable to CRIM, indicating that it is for:
« MMNS 97 Conference»
* Registration includes lunches, coffee break and the workshop
banquet
* GST (R100884675) / PST (1006405599-TQ0001)
Payment : | Cheque ___ | Money Order ___ | VISA ___ | Master Card ___ |
Please make cheque and money order payable to CRIM
If you are using a VISA/Master Card,
please fill the following section : VISA/Master Card number : _________________________________________ Expiration date : ____/____ (MM/AA) Authorized Signature : ______________________________________________ Date : ________________________ |
Registration is guaranteed only upon payment.
Accomodations:
(you must reserved directly with the hotel) Deadline: |
Radisson Hotel des
Gouverneurs , 777 University Street, Montreal
(Quebec) CANADA Reservation: (514) 879-1370 or 1-800-333-3333 Fee: 125$/night (single/double occupancy, taxes not included) Internet: http://www.radisson-mtl.com |
Please complete and return to :
Julie Théroux CRIM 1801, McGill College Avenue, Suite 800 Montreal, Quebec H3A 2N4 Canada |
Telephone :
(514) 840-1234 local 4627 Fax : (514) 840-1244 E-mail : Julie.Theroux@crim.ca Internet : ./mmns97.html |