Registration Fee Payment Form

The Person Being Registered for the IEEE CISDA 2012
  First Name:
Last Name:
(Name Tag will be created using your first and last names given here.)
Status: Author Conference Attendee
Title:
Organization:
Phone Number:
Address Line 1:
Address Line 2:
City:
Province/State:
Postal/Zip Code:
Country:
Email:

The Person Being Registered is the same as the Person Paying the Registration

The Person Paying for the IEEE CISDA 2012 Registration
  First Name:
  Last Name:
  Phone Number:
  Address Line 1:
  Address Line 2:
  City:
  Province/State:
  Postal/Zip Code:
  Country:
  Email:

Paper Registrations
Total Number of papers you are registering, OR presenting:

 
Registration Fees
(All amounts are in Canadian dollars.)

After June 18, 2012
Full Registration - IEEE Member 
(Full Registration required by atleast one author on each paper.)   
$500
Full Registration - Non Member
(Full Registration required by atleast one author on each paper.)
$600
Registration - IEEE Life Member
$250
Registration - IEEE Student Member
$250
Registration - Student Non Member
$300
Registration - One day only
$300
Number of Extra Papers for this Registration
           
(Each paper should be between 4 and 8 pages long)
$100
Total Number of Additional DVD Proceedings
            

$25


Registration Fees
Total Amount (CAD):
Invoice/Order Number:
Name on card:
Credit Card Type:
Credit Card Number:
Expiration Date: /


Special Needs/ Dietary Requirements




Administrative Charges

  • There will be a CAD$50 fee assessed for chargeback issued on valid credit card charges.
  • There may be an additional conversion fee for individuals paying with a non-Canadian credit card.
Refund policy
  • All refund/cancellation requests must be provided in writing.
  • The registration fee will not be refunded if it is required to cover the publication expenses of accepted papers.
  • Additional DVD proceedings will not be refunded after June 20, 2012.
  • A registration processing fee of CAD$100 will be charged if the refund request will be received on or before June 20, 2012.
  • No refund will be honored if requested after June 20, 2012.

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