PLEASE SELECT ONE CONFERENCE BELOW
o SciTech 2016
o AIAA / AHS Adaptive Structures Conference
o AIAA Aerospace Sciences Meeting
o AIAA Atmospheric Flight Mechanics Conference
o Dynamics Specialists Conference
o AIAA Infotech @ Aerospace Conference
o AIAA Spacecraft Structures Conference
2O16
4–8 January 2016
Manchester Grand Hyatt, San Diego, CA
REGISTRATION FORM (or register online at aiaa-scitech.org/register)
All registrants please complete the information below. —REGISTRATION OPTIONS—
All registrants must provide a valid ID (driver’s license or passport) when they check
in. For student registration, valid student ID is also required.
Nickname
First/Given Name
M.I.
Email Address
State
Country/Zip/Postal Code
Fax Number (include country code)
If you are registering as a student, indicate the following:
Degree Type (BS, MS, PhD, etc.)_________________________________________________________________
Field of Study (AE, ME, EE, etc.)_____________________ Expected Graduation Date______________________
Name of Institution_____________________________________________________________________________
AIAA MEMBERSHIP: If you are registering at the conference rate, included with your registration
fee is one year of AIAA membership. Sign below, then visit www.aiaa.org and click on My AIAA to
update your contact information.
q Included in your AIAA membership will be periodic communications about AIAA benefits, products,
and services. Check here if you prefer not to receive membership information via email.
q From time to time, we make member information available to companies whose products or services
may be of interest to you. Check here if you prefer not to have your name and address used for nonAIAA mailings.
Signature_________________________________________________ Date__________________
q Check here if you are renewing or reinstating your membership. (You must pay full nonmember conference fee.)
RETURN FORM TO:
1) F or fastest, easiest
service, register online
at aiaa-scitech.org/register
AIAA Member
AIAA Member
OPTION 1: FULL CONFERENCE WITH ONLINE PROCEEDINGS
q $1270
q $800
q $1150
Includes sessions Monday–Friday, one Recognition Luncheon (Tuesday or Thursday), Tuesday
reception in the Exposition Hall, Wednesday lunch in the Exposition Hall, and single-user access to
the online conference proceedings.
Address
Daytime Phone Number Standard
15 December – 8 January 2016
Conference
Job Title/Rank
City
Early-Bird
14 December 2015
Last/Family Name
Organization Name/Division/Mailstop
4
Select your registration options below. Payment by check, credit card,
or money order—payable to AIAA—must accompany registration. To
pay the member rate, your membership must be in good standing.
SCITECH16
1
3
2
o AIAA Guidance, Navigation, and Control Conference
o AIAA Modeling and Simulation Technologies Conference
o AIAA Non-Deterministic Approaches Conference
o AIAA/ASCE/AHS/ASC Structures, Structural Dynamics,
and Materials Conference
o Symposium on Space Resource Utilization
o Wind Energy Symposium
2) By mail: return completed
form with payment to
AIAA
ATTN: Lynne David
1801 Alexander Bell Drive, Suite 500
Reston, VA 20191
3) By fax: send the signed,
completed form with
credit card payment to
703.264.7657
OPTION 2: FULL-TIME UNDERGRADUATE STUDENT
REQUIREMENT: To be eligible for the full-time Undergraduate rate, registrant must be enrolled in at least
12 credits of Undergraduate level courses. AIAA member must have a valid Student membership status or
professional membership with Return to Full-time Study status. Student ID must be presented on site.
q $120
q $65
q $95
Includes sessions and exhibit participation only (excludes food functions and conference
proceedings).
OPTION 3: FULL-TIME GRADUATE OR PH.D STUDENT
REQUIREMENT: To be eligible for the full-time Graduate or PhD. rate, registrant must be enrolled in at
least 9 credits of Graduate level courses. AIAA member must have a valid Student membership status or
professional membership with Return to Full-time Study status. Student ID must be presented on site.
q $225
q $170
q $200
Includes sessions and exhibit participation only (excludes food functions and conference proceedings).
OPTION 4: FULL-TIME RETIRED (AIAA MEMBER ONLY)
N/A
q $350
q $475
Includes sessions Monday–Friday, Tuesday reception in the Exposition Hall, Wednesday lunch in the
Exposition Hall. Includes proceedings.
OPTION 5: CONTINUING EDUCATION COURSE (INCLUDES FULL CONFERENCE REGISTRATION)
PLEASE SELECT ONE
q Systems Requirements Engineering course
q Guidance of Unmanned Aerial Vehicles course
Includes sessions Monday–Friday, Tuesday Recognition lunch, Tuesday reception in the Exposition Hall,
Wednesday lunch in the Exhibit Hall, and single-user access to the online conference proceedings.
q $1670
q $1200
q $1550
OPTION 6: ONE DAY RATE $350.00
q Monday q Tuesday q Wednesday q Thursday q Friday
Cancellations must be received in writing no later than 21 December 2015. There is a $100 cancellation fee.
Registrants who cancel beyond this date or fail to attend will forfeit the entire fee. For questions, contact Lynne
David at 703.264.7503 or lynned@aiaa.org
5
q Check here if you need to make special arrangements due to a disability.
6
FORM OF PAYMENT
Attach requirements on a separate sheet of paper.
AIAA Member No.______________________________________
q Purchase Order
q Travelers Check
q American Express q Check
q Visa
q MasterCard
q Wire Transfer q Diners Club
Includes Exposition Hall access and sessions for that day only. Does not include proceedings or food functions.
OPTION 7: THE 2ND AIAA AEROELASTIC PREDICTION WORKSHOP
Includes workshop participation only. Conference registration is not included.
q $260
q $260
q $360
EXTRA TICKETS
Monday Associate Fellows Dinner
q
$100
x No. of tickets ________________________ $
Tuesday Recognition Luncheon
q
$74
x No. of tickets ________________________ $
Tuesday Reception in the Exposition Hall
q
$102
x No. of tickets ________________________ $
Wednesday Lunch in the Exposition Hall
q
$70
x No. of tickets ________________________ $
Thursday Recognition Luncheon
q
$74
x No. of tickets ________________________ $
x No. of tickets ________________________ $
x No. of tickets ________________________ $
Credit Card Number:__________________________________ Expiration Date: _________ Month ________Year
Extra Online Proceedings
q
$220
Signature:___________________________________________________________________________________
The 2nd AIAA Aeroelastic Prediction Workshop
q
$260
TOTAL DUE: $ ____________________
Email address of cardholder for receipt: ________________________________________________________
Please note that photographs and video taken by or on behalf of AIAA of event activities and attendees shall be the property of AIAA. By registering for this
event, you consent to the use by AIAA of any photograph or video in which you appear, including for promotional purposes, in print, digital, or other format,
without notice or compensation to you.
Register on our website: aiaa-scitech.org/register.
Select “Register Now” to access the secure online
registration form. Use credit card only. Follow the
steps for registration.
For AIAA use only
Rec’d by__________________________________
Date Processed_______________________
15-857
Registration forms must be received by 14 December 2015 to receive the early-bird rate. Registration forms
cannot be processed without full payment.