Registration Form


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All information should be typed in upper and lower case (e.g., William Smith). On completion of the form, please press the "Encrypt Data and Register Me" button. Your information and credit card details will be encrypted and securely forwarded to the Registration Chair. You should receive a confirmation email within 7 days. If you do not, please contact Herb Tax at htax@mitre.org.

Personal Details

 
Title
(Dr./Mr./Ms.)
 
First Name
for Badge
 
Last Name
 
Organization
 
Address 1
 
Address 2
 
City
State
Country
Zip
Telephone
Email
I have made a reservation for a room at the Westin.   If yes, how many nights  
I have made a reservation at another hotel   for nights   

Payment Date

A discounted Early Bird rate is available for payment received by March 6, 2017.
A discounted Advance rate is available for payment received by March 31, 2017.
Payment rates change at 5:00 pm ET.

Payment Received
Early Bird

By March 15
Advance

March 16 -
31
Standard

April 1-20/
On Site





Conference Fees

Includes all sessions, exhibits, awards luncheon, special event and one CD-ROM copy of proceedings.

Early Bird
Advance
Standard
Author, Session Chair or
      Member (IEEE, AIAA)
  IEEE Member No.
  AIAA Member No.
$700
$750
$800
Nonmember
$900
$950
$1,000
Student Member (IEEE, AIAA)
  IEEE Member No.
  AIAA Member No.
$150
$175
$200
Student Non-Member
$175
$200
$225

Notes:
At least one author must register for the conference. Your abstract number is necessary for this process. (If presenting more than one paper, please separate abstract numbers with a comma. Remember, only 2 papers per registration.)
Abstract Number(s):  

Committee Member/Plenary Speaker  Enter Password

Sponsor/Exhibitor  Enter Password


Other Information


Wednesday Special Event - Casino Night
Including Buffet Dinner

To adequately prepare for the Special Event, please indicate if you will be attending.

I will be attending the Special Event on Wednesday (SE).

Dietary Restrictions


Total Charges Summary

Conference $
Other $
Total $

Payment Method

Please charge my credit card:
         We only accept 
(All fields are required)
  Card Number:
Invalid format.
  Confirm Card Number: A value is required.Invalid
  Security Code:
  Card Holder First Name:
  Card Holder Last Name:
  Expiration Date:
(mm/yyyy)
  Amount (USD):
$
  Card Holder Street Address
  Card Holder Postal/Zip Code:
 

Refund Policy:
A $50 fee will be charged for cancellations after March 14, 2017. No refunds will be provided after April 1, 2016.
A corporation or agency may send a substitute with authorization stating which registrant they are replacing.


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