2000 IVEC REGISTRATION FORM
DoubleTree Hotel, Monterey, CA, May 2-4, 2000
(type or print clearly)
Dr./Mr./Ms.
FIRST NAME
MIDDLE INITIAL
LAST NAME
INFORMAL FIRST NAME , as you would like it to appear on the badge
COMPANY or AFFILIATION
ADDRESS 1
ADDRESS 2
CITY
STATE or PROVINCE
POSTAL CODE
COUNTRY
PHONE
FAX
EMAIL
 $350 Advance Registration* (before April 21) – IEEE Members ($375 Late or On Site)
 $400 Advance Registration* (before April 21) – Non-Members ($425 Late or On Site)
 $175 Full-time Students/Retired/IEEE Life Members*
Additional Wednesday Evening Banquet Tickets @ $60 PER TICKET
$
TOTAL ENCLOSED
* Includes 1 banquet ticket and a copy of IVEC 2000 Book of Abstracts
 CHECK made payable in U.S. dollars to IVEC is enclosed.
or
CREDIT CARD:  VISA  MasterCard  AMEX  Diner’s Club
Card No. ______________________
Exp. Date _____ Signature
Forms with credit card payment may be faxed to (212) 460-5460 or mail form to:
Mr. Ralph Nadell, IVEC
c/o Palisades Institute for Research Services, Inc.
411 Lafayette Street, Suite 201
New York, NY 10003
(212) 460-9700 or (800) 350-0111, Rnadell@newyork.palisades.org
Confirmations will be mailed. Cancellations will not be accepted after April 21, 2000