MS Word Form - CIEP - Universidad Autónoma de San Luis Potosí

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International Conference on Power Electronics – CIEP’10
San Luis Potosi, S. L. P., MEXICO, August 22-25 2010
Organized by UASLP, SOMEP and the IEEE Section Morelos – PELS Chapter
Sponsored by UASLP, SOMEP, PELS, Intel, Texas Instruments and SEL
REGISTRATION FORM
Send completed registration form to:
Authors: http://ciep.ing.uaslp.mx/ciep2010/php/acceptedpapers.php
Non Authors: ciep2010@uaslp.mx Please attach a copy of the payment
receipt to the registration form.
CONFERENCE REGISTRATION FOR AUTHORS MUST BE RECEIVED
BY JUNE 14, 2010 TO ENSURE PAPER PUBLICATION
PERSONAL DATA..........................................................................................................................
Job title: __________________
First name: ______________________________ Last Name: ___________________________
Company/University: ___________________________________________________________
Street Address: _______________________________________________________________
City: ___________________________________ Province/State:________________________
Postal/Zip code: __________________ Country: _____________________________________
Phone (office): ___________________________ Fax: _________________________________
Phone (home): ___________________________ Mobile: ______________________________
Email: __________________________ IEEE Membership #: ___________________________
Accepted paper numbers: _______________________________________________________
Special requirements - Please indicate any specific dietary, medical, wheelchair or other requirements:
_____________________________________________________________________________
PAYMENT........................................................................................................................................
The payment must be done by Bank Transfer, Bank Deposit or Credit Card.
Payment - Bank Transfer or Deposit:
Bank:
BANAMEX, S. A.
Branch Office:
0870 San Luis Potosí, S. L.P.
Account Name:
Universidad Autónoma de San Luis Potosí
Account Number:
3366-0
Reference:
13
Standard Bank Key (CLABE):
002-180-0870-0033-660-0
Payment - Credit Card:
http://ciep.ing.uaslp.mx/ciep2010/php/registration.php
International Conference on Power Electronics – CIEP’10
San Luis Potosi, S. L. P., MEXICO, August 22-25 2010
Organized by UASLP, SOMEP and the IEEE Section Morelos – PELS Chapter
Sponsored by UASLP, SOMEP, PELS, Intel, Texas Instruments and SEL
CONFERENCE FEES ........................................................................................................
1.
Conference Registration
Members
Non-members
Students
2.
On or before July 9,2010
 $3,000 MXP / 230 USD
 $3,500 MXP / 270 USD
 $650 MXP / 50 USD
After July 9,2010
 $3,600 MXP / 275 USD
 $4,100 MXP / 315 USD
 $900 MXP / 70 USD
Amount MXP/USD
After July 9,2010
Amount MXP/USD
Tutorials Registration*
On or before July 9,2010
 $1,300 MXP / 100 USD  $1,550 MXP / 120USD
IEEE Members
Non IEEE members  $1,500 MXP / 115 USD  $1,800 MXP / 140 USD
 $650 MXP / 50 USD
 $900 MXP / 70 USD
Students
3.
$.............................
$.............................
$.............................
$.............................
$.............................
$.............................
Conference Publication (additional)
Amount MXP/USD
Proceedings
CD-ROM
Tutorial Workbook
4.
 $ 850 MXP/ 65 USD
 $ 600 MXP/ 50 USD
 $ 350 MXP/ 30 USD
x _________
x _________
x _________
$.............................
$.............................
$.............................
Conference Social Functions (additional)
Amount MXP/USD
Gala Dinner
 $ 550 MXP/ 45 USD
x _________
$.............................
TOTAL AMOUNT PAYABLE: $.............................
*
The tutorial and course fee for students includes the conference registration and it includes all tutorials.
Tutorial information available at http://ciep.ing.uaslp.mx/ciep2010/php/tutorials.php
MXP: mexican pesos
USD: US dollars
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