ADVANCE REGISTRATION FORM ETW98 May 27-29, 1998 - Sitges (Spain)

To register, mail or fax this form to :  ETW98 REGISTRATION DESK Dept. Eng. Electrònica (UPC)
Diagonal, 647, 9th Floor - 08034 BARCELONA (Spain) +34 3 401 7785 Dolors Mateu (fax)

All advance registrations must be faxed or postmarked no later than May 4th, 1998. On-site Conference payments must be made by cash or credit card. Register on-site after May 4th, 1998. Registrations received after May 4th, 1998, will be subjected to the on-site registration fee.

Name___________________________________________ IEEE Membership No. _____________
Company_________________________________________________________________________
Mailing Address___________________________________________________________________
City ______________________ Postal Code _____________ Country _______________________
Fax __________________ Phone ___________________ E-mail ____________________________
Please, REGISTER me for:
ETW98 Full-day tutorial (May 26th): A or B
REGISTR. FEES*

Before May 4th

After May 4th/ On-site

Amount

IEEE Member      

ETW98*

52.000 pta

59.000 pta

________

Tutorial A or B**

35.000 pta

38.000 pta

________

Non-Member      

ETW98*

56.000 pta

63.000 pta

________

Tutorial A or B**

40.000 pta

42.000 pta

________

IEEE/Student      

ETW98*

48.000 pta

55.000 pta

________

Tutorial A or B**

25.000 pta

27.000 pta

________

Additional Tickets Social Event

10.000 pta

10.000 pta

________

   

TOTAL

________

* Registration fees include admission to all conference sessions, a copy of the Papers Digest, morning and afternoon coffees and refreshments, 3 lunches, the Welcome Reception and the visit to Barcelona and social dinner. Cost of one additional Ticket for Thursday tour and social dinner, 10.000 pta.

** Tutorial Registration fee includes a copy of the Tutorial Notes, morning and afternoon coffes and refreshments and one lunch.

 Method of Payment

 Bank Transfer to: La Caixa (2100), Oficina 1801, Jordi Girona Campus Nord UPC, s/n, 08034 Barcelona, Tel:34932800315, Account: #2100-1801-13-0200006014# (Attach the bank transfer receipt.)

 CREDIT CARD:  Visa  Mastercard  Eurocard  Card 6000

Credit Card Number ________________________ Exp. Date __________________ Signature: ___________