IEEE/PES Insulated Conductors Committee

IEEE/PES Insulated Conductors Committee

Spring 2014 Meeting Advance Registration Form

Please indicate with a “Y” or “N” if you authorize the ICC to publish your full personal contact info (name, postal address, e-mail address, affiliation, employer, phone no., cell number, membership status) in the ICC Minutes Membership Roster.
Last Name: / First Name: / Middle Initial:
First Name for Badge: / Companion’s Name Badge, First: / Last:
Company:
Address:
City: / State/Province: / Postal Code: / Country:
Phone No: / Cell No: / Email: / Other Committees:
IEEE Member: / Yes: / No: / Member No. IEEE Member Number must be provided to receive member rate.
IEEE-SA Member: / Yes: / No: / PES Member: / Yes: / No: / Section Name:
Dietary Restrictions
None: / Gluten Free: / Lactose Free: / Non-dairy: / Fat Intolerance: / Kosher: / Vegetarian
(fish ok): / Vegetarian (no fish): / Vegan: / Nut Allergy:
- MEETING REGISTRATION - / Code / Number / Each / Line Total US $
Advance Registration: IEEE Member (Excl. DVD Minutes) / ARM / @ $235.00 US
Advance Registration: Non-IEEE Member (Excl. DVD Minutes) / ARN / @ $285.00 US
Complimentary Registration1 / CR / No charge
Companion Registration2 / GR / @ $60.00 US
Spring 2014 Minutes3 (Select to receive ICC Minutes on DVD) / SM / @ $50.00 US
Fall 2013 Minutes (Select to receive ICC Minutes on DVD) / FM / @ $50.00 US
ICC Historical Minutes (1947-2012) / HM / @ $50.00 US
Table Top Display4 / TT / @ $350.00 US
On-site ICC Meeting Registration Fees will increase by $50.00 to $285.00 Member and $335.00 Non-member; Companion Registration and ICC Minutes Remain the same as shown above.

1 Complimentary registration is for students, press, and retired (not working) individuals only. Minutes are not included.

2 Companion registration is not intended for technical attendees and does not include the technical sessions. Companion registration includes continental breakfast on Monday, Tuesday, and Wednesday.

3 Use this block to order current meeting ICC Minutes on hard copy CD or DVD. Downloading of ICC Minutes from the ICC website is included in both the Advance or On-Site registration fee, for Members or Non-Members. Minutes will be available for download or via US mail after the meeting, once compiled. Previous years’ ICC meeting minutes can be obtained from Thomas Arnold., E-mail: ,.

4 Tabletop Exhibits will be located on the 3rd Level in Century Foyer, Ballroom Level, 3rd Floor.

- EVENT REGISTRATION - / Code / Number / Each / Line Total US $
May 4 Orientation Program / ONP / No charge
May 4 Reception / REC / No charge
May 5 Networking Luncheon (Advance Fee)5 /

NL

/ @ $45.00 US
May 6 Transnational Luncheon (Advance Fee) /

TL

/ @ $45.00 US
May 7 Educational Program6 / EDP / No charge
May 7 Educational Luncheon (Advanve Fee) / EDL / @ $45.00 US
5 The Networking Lunch is complimentary for students. However, students must sign up for this luncheon if they plan to attend.
6 Includes Certificate for 0.4 CEU’s e-mailed directly from IEEE. Florida PE license holders MUST provide PE license number here:
On-site Event Registration Fees and On-site Companion Activity Registration prices will increase by $10.00
Code / Description–AM Activity / Number / Code / Description-PM Activity / Number
May 5 Companion Activity /

ACT1

/ Hallmark Visitors Center / ACT2 / Crown Center Shopping
May 6 Companion Activity /

ACT3

/ The Money Museum / ACT4 / Liberty Memorial War Museum or Kansas City Aquarium
May 7 Companion Activity /

ACT5

/ Belger Arts Center / ACT6 / Farmer’s Market
Companion activities are NO CHARGE. However, participants should be prepared to pay entrance fees at venues and local transit fees when accompanying group. A meeting room will be available for those not wishing to participate in these activities.
Total Amount Enclosed: / $US Funds Only: