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| For on-line registration, please click here . You can optionally downloadthe pdf version or use the form below. | | | REGISTRATION FORM | | Registrant(s) Information (Please print clearly) | *ARE REQUIRED FIELDS & MUST BECOMPLETED |
| | *Family/last/Surname | */Personal/first Name | Badge Name | | *Company, University or Other Affiliation | *Job Title | | *Mailing Address | *P.O. Box/Mail Stop | | *City | *State/Province | *Postal Code | *Country | | *Primary PhoneNumber | *Fax Number | Mobile Phone | | IEEE Membership Number | *Email Address(for confirmation purposes) | | EmergencyContact Name | Emergency Phone Number |
Paper Number(s) if you are an Author: _____________________ ________________________ _________________ All NOMS 2010 technical papers must be associated with an author registration at the FULL rate. For authors presenting multiple papers, one registration is valid for up to three papers. Please DO NOT SHARE your registration confirmation code with anyone else. Although the code enables submission of up to three papers, it can only be used once, by you, to create an Author account.
PLEASE NOTE: The organizers of IEEE NOMS 2010 as well as our attendees expect all accepted papers to be presented at the conference. IEEE reserves the right to exclude a paper from distribution after the conference (e.g., removal from IEEE Xplore and EI Index) if the paper is not presented at the conference
| Members of ComSoc Sister Societies may register at the member rate. (circle all applicable): | AICA | AICT | AIU | CCIS | CIC | CIE | CIEE | CMAI | CoE | EZS | FITCE | HTE | IEM | IEICE-CS | IETE | KICS | LITKA | MAEECE | POPOV | REV | SAIEE | SBrT | SEE | SEEEI | SR | VDE | | | | |
| Members of the following organizations may register at the IEEE member rate. (circle all applicable): American Society of Civil Engineers • American Institute of Mining • Metallurgical and Petroleum Engineers • American Society of Mechanical Engineers •American Institute of Chemical Engineers IEEE may use the information you provide us to contact you from time to time concerning similar IEEE conferences, technical products and services or to ask your opinions.
If you do not want us to contact you please check here: __ What is your reason for attending NOMS2010? (Check all that apply) | Organizational Status: (Check all that apply) | How did you hear about
NOS2010? (Check all that apply) | Do you have any special needs? (Check all that apply) | Education
__Assess/access products
__Network with others
__Present at paper/poster/demo
__Identify/assess new research
__Help in strategic planning
__Other | __ Industry
__Government
__Academia
__Research & Development
__Other | __ Website
__Email
__Colleague
__Other | __Wheelchair access
__Audio
__Visual
__Vegetarian
__Other __________________ |
Full ComSoc, IEEE/Sister Society, and Non-Member Registration Includes: Admission to Keynote Sessions, Technical/Poster/Application/Panel Sessions, one copy of the Symposium Record on USB, coffee breaks, lunch Tuesday through Thursday, Welcome Reception, and Banquet. Life Member/ Student Registration Includes: Admission to Keynote Sessions, Technical/Poster/Application/Panel Sessions, one copy of the Symposium Record on USB, coffee breaks, lunch Tuesday through Thursday, and Welcome Reception. Banquet is NOT included, but can be purchased separately. Tutorial and Workshop Only Includes: Tutorial or Workshop notes on CD-ROM and coffee breaks Guest and Exhibitor Registration Includes: Tuesday-Thursday lunches, Welcome Reception and Banquet |
Attendee Name: ___________________________________________________________________________ AUTHORS MUST REGISTER BY JANUARY 18th. Authors must register at the ComSoc Member, IEEE/Sister Society Member or Non-Member rate even if they are a student.
Registration fees are listed in Japanese Yen (JPY) but will be charged in U.S. Dollars if paying by credit card and will appear as USD at the following conversion rate, from 3 December 2009 1 JPY = 0.0115 USD on your receipt.
NOMS Registration Fees | By 28 February 2010 | By 18 March 2010 | After 18 March 2010 | __ComSoc Member | JPY57,500 | JPY67,500 | JPY77,500 | __IEEE/Sister Society Member | JPY60,000 | JPY70,000 | JPY80,000 | __Non-Member | JPY72,500 | JPY87,500 | JPY97,500 | __ IEEE Life Member | JPY20,000 | JPY25,000 | JPY30,000 | __ComSoc/IEEE Student | JPY20,000 | JPY25,000 | JPY30,000 | __Student Non-Member | JPY25,000 | JPY32,500 | JPY37,500 | __Guest | JPY28,000 | JPY28,000 | JPY28,000 | __Exhibitor | JPY28,000 | JPY33,000 | JPY38,000 |
Workshop Fees | By 28 February 2010 | By 18 March 2010 | After 18 March 2010 | __Workshop With NOMS Registration | JPY15,000 | JPY17,500 | JPY20,000 | __Workshop Only (without registration) | JPY30,000 | JPY35,000 | JPY40,000 | __Student Workshop With NOMS Reg | JPY7,500 | JPY8,800 | JPY10,000 | __Student Workshop Only (w/o reg) | JPY15,000 | JPY17,500 | JPY20,000 |
Workshops: Monday, April 19th
__W1: BcN Workshop __W2: BDIM Workshop __W3: ManFI Workshop
Friday, April 23rd
__ W4: BoD Workshop __W5: KMFSAN Workshop __W6: SmartGrid Workshop __ W7: CloudMan Workshop
Tutorial Fees | By 28 February 2010 | By 18 March 2010 | After 18 March 2010 | __ Package #1 - One Tutorial | JPY15,000 | JPY20,000 | JPY25,000 | __ Package #2 - 2 Tutorials | JPY25,000 | JPY30,000 | JPY35,000 | __ Package #3 - 3 or 4 Tutorials | JPY35,000 | JPY40,000 | JPY45,000 | __Package #1S - Student One Tutorial | JPY7,500 | JPY10,000 | JPY12,500 | __Package #2S - Student 2 Tutorials | JPY10,000 | JPY12,500 | JPY15,000 | __Package #3S - Student 3-4 Tutorials | JPY12,500 | JPY15,000 | JPY17,500 |
Tutorials: Monday, April 19th morning
__T1: Network Virtualization Research Challenges
__T2: Between Active & Passive Approaches to Network Performance Analysis Monday, April 19th afternoon
__T3: Grid & Cloud Computing Management & Security
__T4: Management of Next Generation and Future Networks
Friday, April 23rd morning
__T5: Autonomic Systems - Theory & Practice
__T6: Performance Evaluation of Mobile Systems & Services: measurements based methodology & example assessment techniques Friday, April 23rd afternoon:
__T7: Smart Services for Elderly in the Home: Autonomic U-Care & U-Health
__T8: Management of Cognitive Radio Networks
ADDITIONAL ITEMS
__Qty _______ EX-01 - Additional Symposium Record (CD-ROM) JPY4,000
__Qty _______ EX-02 - Additional Banquet Ticket JPY10,000
Total Amount Due: JPY ______________
CANCELLATION POLICY: Cancellations on or prior to 22 March 2010 will incur a JPY10,000 administrative fee.
No refunds will be provided after this date. Please submit cancellation requests via email to IEEE NOMS 2010 at noms10reg@ieee.org. REGISTRATION PAYMENT: __Wire Transfer - Include JPY1,500 administrative fee. Email noms10reg@ieee.org for instructions. __ Visa __MasterCard __American Express __ Discover Card Number ____________________________________________Expiration Date ____________________ Name on Card ___________________________________Authorized Signature ________________________ |
Mail or Fax Completed Registration Form & Payment To: IEEE/MCM, Attn: Caroline Colabaugh, 445 Hoes Lane, Piscataway, New Jersey 08854 USATel: +1 732 981 3437 Toll Free (US or Canada): + 1 800 810 4333, Fax: +1 732 465 6447 E-mail: noms10reg@ieee.org |
For visa information, please click here.
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