REGISTRATION and PAYMENT

2012 IEEE International Conference on Technologies for Practical Robot Applications (TePRA)
April 23 -24, 2012

A word about our processes

Online Conference Registration: We use end-to-end encryption for your protection. Please confirm that your browser indicates a secure connection. This is the preferred way for you to register.

Paper Conference Registration: You may download a PDF for submission by mail or FAX here.

Registration

Your registration includes admission to all keynote, plenary, invited technical sessions, panels, demonstrations, welcome reception, exhibits, conference CD ROM, abstract book, coffee breaks and lunches.

(Note: You will receive an email confirmation for your registration. If you do not receive the confirmation within 7 business days, please contact Linda Scott at the IEEE Boston Section office at +1 781 245-5405)

If you are an author of an accepted paper, please include your paper ID # in the space provided below.

Amounts are stated in USD. Date and time is EDT, USA.

ADVANCE REGISTRATION (MUST BE RECEIVED BY MARCH 19, 2012)

Conference Fees

Registrant	By March 19, 2012	After March 19, 2012
IEEE Member	$425	$475
Non-IEEE Member	$475	$535
Life Member	$250	$275
Student Member	$250	$275

Required fields are indicted by *

Membership Status

Additional Conference Publications

(Note: one copy of the CD proceedings is already included with your registration)

CD prices are $35 for members, $40 for non-members. Enter quantity desired.

Welcome Reception

*Do you plan to attend the welcome reception on Monday, April 23, 6:00 - 8:00 PM?

Do you have dietary restrictions, (please list below). We will do our best to accommodate your request?

You may list dietary restrictions here. (100 characters maximum.)

TOTAL FUNDS REMITTED (US DOLLARS)

Remittance must be made in $US dollars, by check payable to IEEE TePRA Conference, or credit card (VISA, MasterCard, or American Express). Do not send cash by mail. Make all checks payable to, IEEE TePRA Conference and drawn on a US bank. REGISTRATION MUST BE RECEIVED BY March 19, 2012 to qualify for advance registration discount rate. Full time students must present a current, valid student ID when they submit their registration form. This can be emailed to l.scott@ieee.org or faxed to +1781-245-5406. All pre-conference registrations must be received in the office by April 19, 2012. After that date, only onsite registrations will be accepted. You will not be considered registered until your payment as well as your registration form has been received. Purchase orders are not accepted.

For wire transfers email sec.boston@ieee.org for instructions.

Provide Contact Information

*First Name:
*Last Name:
Company Name:
IEEE # required for membership rate:
Paper ID # for accepted papers:
*Address 1:
Address 2:
*City:
*State or Province:
*Country:
*Postal Code (ZIP):
FAX:
*Email:
*Please enter email again:
*Telephone:

Sharing Contact Information

May we share your contact information (name, company affiliation and address only) with conference attendees?

Summary of Your Selections and Associated Fees

To make changes you must scroll up the page to make changes. Then return and click update. The information seen in this table is what you will get when you submit the form. You will get a more complete confirmation after submission.

I'm registering as:
Membership Number:
Share contact information?
Conference Fee:		$
CD Quantity:
CD Amount:		$
Attend Welcome Reception:
Dietary Restrictions:
Total Amount:		$

Update is REQUIRED to see actual quantity and amounts before continuing.

(Nothing will change if the summary contains the latest information.)

PAYMENT INFORMATION

*My selections and Total amount shown above are correct:	I agree. I don't agree.
*Credit Card Number:
*Expiration Month:
*Expiration Year:
*Type of Credit Card:
*Exact name as it appears on Credit Card:

IMPORTANT:

Check all of your entries for accuracy before submitting this form.

See Attendee Registration Cancellation Policy here.

You will get a confirmation page you can print for your records after you submit this form.

Click "submit" only once. Processing may take a few moments.