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On-line Registration
  1. If you wish to register off-line or make changes to an existing registration, please use the PDF Registration Form
  2. Complete the form below. Required fields are denoted with a *
  3. Select the Payment Button corresponding to your preferred payment method. Please note that registration is executed as soon the selected payment button is pressed.
  4. Credit Card information will be collected after submitting via the "Credit Card" button
    (Visa or MasterCard ONLY).


* Region:
* Institution:
* Salutation:

* First/Given Name:
* Last/Family Name:
Degree: (M.D., Ph.D., etc)
* Nametag:
(first name or nickname...as you wish it to appear on your nametag)

Position/Title:
* Organization:
Department:
Division:

* Street Address:
* City:
State/Province:
* Zip/Postal Code:
* Country:


(include country code before phone and fax numbers, i.e. +39-081-8784141)

* Telephone:
Fax:
* Email:

IEEE Member Number: (*required for member discount)
IEEE Society:

* Classification: Conference Presenter -- Paper Number
Participant

* Include email address on participant's list for all conference attendees?


* Provide name and contact information to commercial supporters and conference attendees?


Special Requirements
Dietary:
Physical:

How did you hear about the MEMS 2009 Conference?



* Registration Type

  Full RegistrationEarly Bird
On or Before
15-OCT-2008
Advanced
16-OCT-2008 to
30-NOV-2008
Standard
1-DEC-2008 to
12-JAN-2009
On-Site
After
12-JAN-2009
IEEE Member1€645€745€855€890
IEEE Non-Member€795€855€955€990
Student2€575€650€775€825
BenefactorCode:
1With IEEE Member Number, 2With Student Advisor's Name



  Daily Registration

IEEE Member1€550Which Day(s)?
IEEE Non-Member€650Mon  Tue  Wed  Thu
Student2€425
1With IEEE Member Number, 2With Student Advisor's Name




Advisor's Name: (*required for student discount)


Additional Purchases

Technical Digest Fees: The registration fees above include one Soft-Copy Technical Digest ONLY. Printed Technical Digests and additional Technical Digest Sets (printed and soft-copy) are available for the prices listed below. Printed Technical Digests ordered before November 30, 2008, are available for pick up at the conference site. Those ordered after this deadline are shipped to your address, as given in the registration form.

Additional Technical Digest Set (Printed and Soft-Copy)
IEEE Member: @ €140
IEEE Non-Member: @ €190

Additional Conference Banquet Ticket
(conference fee includes 1 ticket, none included with daily registration)
Cost per ticket: @ €85

Guest Name for Nametag (comma separated list if more than one)
First and Last Name



Pre-registration will close on 12 January 2009. After 12 January 2009, all prospective attendees will register on-site at the standard rate. Please bring this registration form with payment to on-site registration.

ETH Zürich accepts the registration payment in EUROS only, and is due within 10 days of receipt of your registration. Registration is not valid or complete until payment is received unless other arrangements are made. The registration fee includes program material, (1) Soft-Copy Technical Digest (Electronic Version), exhibit hall access, welcome reception, Wednesday Conference Banquet, lunches, refreshment/coffee breaks, and a 20% non-refundable cancellation fee. A €50 fee will be charged for all substitutions. All requests for refunds must be received in writing no later than 12 January 2009. No refunds will be made after this date.

PLEASE NOTE: The Wednesday Evening Conference Banquet IS NOT included in the price of a daily registration.

* I agree to the above Cancellation Policy



   

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