APC 2003 REGISTRATION FORM
April 28, 29 and 30, 2003
IEEE APC 2003 Workshop: Advanced Process Control Applications for Industry

  Cost (CAD)  
IEEE Member* (Early bird**) $400
Non-Member* (Early bird**) $500
IEEE Member* $500
Non-Member* $600
Student (Member)*** $150
Student (Non-Member)*** $200
Exhibitor (includes one registrant)* $600
Maciejowski Tutorial Only**** $150
Conference proceedings only $30
Tutorials will receive IEEE accreditation for CEU
* Workshop Registration includes proceedings, lunches and reception.
** Early Bird: Registered before March 1, 2003.
*** Limited number of student registrations available. Lunch, reception and catering services not included.
**** Available to IEEE Control System Society members only.

Date: __________________________

Name: _______________________________ Company: _____________________________________

Mailing Address: _____________________________________________________________________

Phone: ______________________________ Fax: __________________________________

E-mail: ___________________________________________

Member  Yes  No  IEEE Membership #: ________________________ CSS #: _________________

Credit Card type: ______________ (VISA, MC, AMEX)

Card #: ___________________________________________ Expiry Date (mo/yr): _____________

Card Holder's name: _____________________________________________

Signature: _______________________________________ Payment amount (CAD) : ____________

Do you intend to stay at the Hotel Georgia?   Yes    No  (Info Only - Make reservations directly with Hotel)

If not prepaid, please confirm attendance before March 15, 2003 with Sharon Pirnak at 604-214-9248 to hold your space. You may make your payment by cheque payable to: IEEE APC2003 Workshop and send with completed registration form to:

IEEE APC2003 Workshop c/o Sharon Pirnak
Universal Dynamics, 100-13700 International Place, Richmond, BC V6V 2X8
Phone: 604-214-9248  Fax: 604-214-9249