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IAB 19 Registration

by ims — last modified 2010-03-30 13:02

Fill in the form below to submit your registration for the 19th IMS Industry Advisory Board Meeting.

If you have any general questions about the registration please contact Patrick Brown or Masoud Ghaffari.

Direct any technical questions about registration to Wenyu Zhao.

Register as: Company Member (Two per company; Additional person fee: $50)
Non-Member (by invitation only) (Fee: $150)
IMS Researcher / NSF
Name:
Name on Badge:
Email:
Work Phone:
Mobile Phone:
Organization:
Address:
   
Events to attend: (for administration purposes, no effect on the registration fee)
  May 12: Industry Forum 
  May 13: Presentations, Posters
  May 13: Social dinner
  May 14: LIFE Form Feedback and Industrial Advisory Board Meeting (member-only)
Food preference:
 		Vegetarian


Non-Members: by submitting this form you agree to adhere to the terms and conditions stated in the non-disclosure agreement.

IMPORTANT: Submitting this form does not constitute registration until applicable fees are received.

 

IAB 19 Sponsors

 

Payment

 

For credit card payment please print and fill this form (make sure you sign it), and send to Patrick Brown via mail (address below).

 

  For payment by check (post mail), please make a check payable to "University of Cincinnati" and also send it via mail (address below).

 

Fax number:

ATTN: Patrick
+1 (513) 556-4614
Mailing address:

Patrick Brown
University of Cincinnati
PO Box 210072
Rhodes Hall 598
Cincinnati, OH 45221-0072

 

For payment questions, please contact

Patrick Brown, email: patrick.brown@uc.edu, phone: +1 (513) 556-4614
 

 
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