Itherm
Registration Registration Form


© Copyright 1999-2002, ITherm and JM Technology Solutions, Inc.

Welcome the on-line registration for ITherm 2002. You are allowed to register once per e-mail address. If you have already registered and need to make changes to your registration, please Contact Us! or call 520-621-3054. To check the status of your registration, please use our on-line system.

Note: You may submit this registration form over the Internet using strong 128-bit SSL encryption. If you DO NOT see a gold closed lock symbol on your browser signifying a secure connection, Click Here! You may also complete this form, print and FAX it to 520-621-1443, mail it to the address below or register by telephone at 520-621-3054.

    Name


    Company


    Address


    Maildrop or Department


    City


    State/Province


    Zip/Postal Code


    Country


    Phone Number (555-555-5555)


    FAX Number (555-555-5555)


    E-mail Address



    Proceedings Format


    Conference Registration Fee

      Fee Type


      IEEE Membership Number


    Short Course Registration Fee
      Short Course


    ITherm Achievement Award Banquet and Cruise (not included in registration fee)


    Additional Conference Proceedings
      Number


    Guest Tickets
      Luncheons (one ticket required for each luncheon for each guest)


      Reception


    Note: Registration fees are not a tax deductible contribution. However, they may be deductible as a business expense. Check with your accountant or tax advisor.


    Payment

      Payment Options


      Paying By Credit Card
        Card Number (1111-2222-3333-4444)


        Name on Card


        Card Expiry

      Paying By Check or Purchase Order

        Make payable to THE UNIVERSITY OF ARIZONA FOUNDATION and mail to:
          Engineering Professional Development
          University of Arizona
          1224 N. Vine Ave.
          Tucson, AZ 85719-4552
          USA

      Paying By Credit Card by Phone or FAX
        After submitting this form, please call 520-621-3054 or FAX 520-621-1443. Please specify your name, E-mail address, type of Credit Card, name on the Credit Card, Expiration Date and comlete Credit Card number.

    For Tutorial Continuing Education Units

      SSN (nnn-nn-nnnn)


      DOB (mmddyyyy)



    Special Needs

      Persons with a disability may request a reasonable accomodation, such as a sign language interpreter, by contacting Engineering Professional Development at the number shown below. Such requests should be made as early as possible to allow time to arrange the accomodation.

      I have the following special needs or requirements (255 characters or less)

      I am requesting vegetarian lunches

      Audio-Visual: The conference will provide overhead projectors, computer projectors, screens, laser pointers and microphones in each meeting room. Additional items may be provided at the requestor's expense. Please indicate any additional items required.



    Accommodations

      The Sheraton San Diego Hotel and Marina, 1380 Harbor Island Drive, San Diego, CA 92101, Telephone 619-291-2900 or toll free 1-877-734-2726, is holding a block of rooms at the special group rate of $174 single or double occupancy plus tax. Reservations must be made by April 28, 2002 to guarantee this rate. After that date, reservations will be filled on a space and rate available basis. Please remember to mention that you are attending the ITherm conference when making your hotel reservation. Please register for the conference and at the hotel as soon as possible.


    Registration Information

      Attendees may register and pick up their conference materials at the conference registration desk in the foyer of the West Tower between the hours of 7:00 AM and 5:00 PM from Tuesday, May 28, 2002 to Friday, May 31, 2002. The registration fee includes admission to all sessions, the Technology Exhibits (until 6:00 PM, Thursday, May 30, 2002), and the conference reception. It also includes a set of proceedings, three continental breakfasts, refreshment breaks, and three lunches. Student registrations do not include proceedings.


    Cancellations

      Cancellations received in writing prior to 5:00 PM Mountain Standard Time, May 15, 2002 will be given a full refund of registration fees. No refunds may be given after that time, but substitutions are welcome at any time. The conference cannot be responsible for costs incurred other than the registration fees.


    Only click the "Submit Registration" button once. Adding your registration to the system may take a few seconds.By submitting this form and choosing to pay by credit card, you are giving ITherm permission to authorize your credit card for the total amount due.