Please type or print clearly:

LAST NAME _______________________FIRST NAME _______________________MI _____NICKNAME___________________

AFFILIATION/COMPANY___________________________________________________________________________________

MAILING ADDRESS/P.O. BOX MAILSTOP/ROOM _______________________________________________________________

CITY STATE/PROVINCE COUNTRY__________________________________________________________________________

ZIP/POSTAL CODE ___________________________________________E-MAIL______________________________________

PHONE____________________________________________FAX_________________________________________________

BASIC CONFERENCE FEES
Full registration (Member, Non-Member, Lifetime Member) includes technical sessions, exhibits, copy of conference proceedings, all social events and 2 lunch tickets. Full registration for Students (Member, Non-Member) includes all of the above, except the social events. All prices are quoted in USD.

One Day registration includes technical sessions, exhibits and 1 lunch ticket.

*See page ? for proof of student status.

Please check day:
Monday Tuesday Wednesday Thursday

Extra Proceedings:
Paper Copy $ 80.00
CD-Rom Copy $ 40.00

SOCIAL EVENTS
Extra Tickets
Ice Breaker Reception $ 25.00
Exhibit Hall Reception $ 30.00
MTS Awards Luncheon $ 35.00
Aquarium Banquet $ 75.00

PAYMENT
Registration Fee $ _______________
Social Events $ _________________
Extra Proceedings $ _____________

I submitted a $75 abstract fee to be applied toward my registration.
TOTAL: $_____________USD

METHOD OF PAYMENT
Check (in USD) made out to: IEEE/OCC
Visa MasterCard American Express

Card Number ______________________________
Exp. Date__________________________________

Cardholder Name____________________________

Signature__________________________________

Wire Transfer
To insure proper credit to the account, you MUST specify on the transfer: (1) Conference Bank Name: Fleet Bank Boston, Massachusetts, USA, (2) Bank Account #: 8459001469, (3) Bank Account Name: IEEE Travel Services, and (4) ABA#: 011000138. Please include any wiring fees charged in your payment to your bank. A copy of the transfer receipt MUST accompany your registration.

PLEASE MAIL COMPLETED FORM AND PAYMENT TO:
IEEE/ITCMS, 445 Hoes Lane, P.O. Box 1331
Piscataway, NJ 08855-1331
Phone: 732.562.6346; Fax: 732.981.1203
E-mail: registration@ieee.org

All requests for refunds must be in writing. No refund will be made after 11/06/98. There will be a $25.00 service charge on all refunds.

Non-member full registration and Non-member Student registration includes a one-year membership in MTS.