IEEE ICCI 2009 Registration Form
Participant Information:
Name:
Organization:
Mailing Address:
Telephone:
Fax:
Email:
Registration fee:
Note: A full registration includes a copy of proceedings, the banquet, lunches, coffee/tea breaks, author kits, and GST.
Paper #:
Advance registration: (Before Monday, April 6, 2009)
Full Registration (IEEE members):
$500 USD / $3900 HKD (Member #:
)
Full Registration (Non IEEE members):
$650 USD / $5070 HKD
Student Registration (IEEE members)*:
$300 USD / $2340 HKD (Member #:
)*
Life/Retired Registration (IEEE members)*:
$400 USD / $3120 HKD (Member #:
)*
* A student must provide proof of student status.
Late registration: (After Tuesday, April 7, 2009)
Full Registration (IEEE members):
$650 USD / $5070 HKD (Member #:
)
Full Registration (Non IEEE members):
$850 USD / $6630 HKD
Student Registration (IEEE members)*:
$500 USD / $3900 HKD (Member #:
)*
Life/Retired Registration (IEEE members)*:
$600 USD / $4680 HKD (Member #:
)*
* A student must provide proof of student status.
Additional proceedings:
# of copies
x $100 USD / $780 HKD
Additional banquet tickets:
# of tickets
x $80 USD / $624 HKD
Method of Payment:
Please check one below:
Credit Card via Internet
Online payment by credit card can be performed on-line at
Here
Visa
Master Card
Card #:
Exp. date #:
Card Holder#:
Bank Draft (Hong Kong Dollars)
Must be payable to "The Hong Kong Polytechnic University".
Please send the bank draft and the registration form for follow up action to:
Ms. Vivien Yu,
Finance Office,
The Hong Kong Polytechnic University
Hung Hom, Kowloon, Hong Kong.
Email: fowyy@inet.polyu.edu.hk
Tel: +852 3400-3728, Fax: +852 2334-0342
Telegraphic Transfer (T/T)
Remit payment by telegraphic transfer (T/T) to the following bank account of the Hong Kong Polytechinc University.
Account Name: The Hong Kong Polytechnic University
Bank Name: Hang Seng Bank Limited
Bank Address: 83 Des Voeux Road Central, Hong Kong, P.R. China
Bank Account Number: 024-280-277476-001
SWIF code for Hang Seng Bank Limited: HASE HKHH (optional)
Details of Payment: please put "IEEE ICCI 2009-name of participant" in the field for the conference coordination.
After the remittance, please send you a copy of the bank remittance advice for follow up action to:
Ms. Vivien Yu,
Finance Office,
The Hong Kong Polytechnic University
Hung Hom, Kowloon, Hong Kong.
Email: fowyy@inet.polyu.edu.hk
Tel: +852 3400-3728, Fax: +852 2334-0342