IEEE International Symposium on Multimedia (ISM2006) Registration Form

 

Paper No (author only): ________     Workshop/Special Track Name (if applicable) _______________

 

Advanced registration deadline is September 27 for authors and November 11 for general participants.

Please print this form and FAX or send the form with your info and payment to the address at the bottom of this form.

 

Paper Title (author only)

 

 

 

First Name:

 

Last Name:

 

Affiliation:

 

Address:

 

City:

 

State/Province:

 

Country:

 

Zip Code:

 

E-mail:

 

Phone:

 

FAX:

 

IEEE Member No.:

 

 

Conference registration fees: (Please check all that apply)

 

By 9/27/2006 (authors);

11/11/2006 (general)

After 11/11/2006

 

IEEE Member

    $500

    $600

Subtotal____________

Non-IEEE Member

    $625

    $675

Subtotal____________

Student*

    $200

    $250

Subtotal____________

Extra papers

Number of extra papers _____ * $100

 

Extra pages

Number of extra pages (up to 2 pages) _____ * $100

Subtotal __________

Extra banquet tickets

Number of ticket  ____  * $75

Subtotal____________

Extra copies of proceedings

Number of copies ____ * $150

Subtotal____________

 

 

Total  ____________

* At least one author each paper has to pay a full registration. A student cannot register at the student rate if she/he is the only author who registers.

 

Payment can be made with Visa, MasterCard, or Check (payable to IEEE ISM 2006).

Please note that your credit card payment will be handled by IEEE for ISM 2006.

Also note that if you would like to pay the conference fee with credit card, 

complete the following information. Otherwise, IEEE cannot process your credit card.

 

Total Due: US $________________

Payment Method:         Check           Visa           MasterCard  ____AMEX   ____Diner's Club

Card Number:                                                                   Exp Date (MM/YY):_________

Zip code (US domestic card holder only ) _________________

Billing address __________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Name on card:                                                     Signature:________________________

 

 

Hotel Reservation

 

A limited number of rooms have been reserved at the conference special rate, USD$139, which is available

Dec. 10th to Dec. 14th. This special rate is provided by calling to 858.274.4630 and mentioning

the IEEE Computer Society/ ISM2006 Conference. The deadline for the conference special rate is Nov. 17th.

No Internet reservation is available.

FAX or mail your form with check to the following address:

 

Registration Chair:

Shu Wang c/o Prof. Phillip Sheu

FAX: +1 949/824-2321

Department of EECS

 

University of California, Irvine

 

Irvine, CA 92697

 

USA

 

 

 

 

Email any question regarding registration to Shu Wang at shuw@uci.edu