2001 IEEE International Symposium on Information Theory
Omni Shoreham Hotel
2500 Calvert Street NW, Washington, DC 20008
Advance Registration Form
                     
Last Name First Name Middle Initial Name on Badge
                     
Company/Institution/Department
                     
Address
                     
City State/Province Postal Code Country
                     
Phone Number Fax Number IEEE Membership Number
                     
Email Address
REGISTRATION FEES                                                                                                                                                                     Includes conference proceedings, ticket to the opening reception, ticket to the awards luncheon, ticket to the banquet, and ticket to the final reception.
REGISTRATION CATEGORIES On/Before            30 April 2001 After                          30 April 2001
IEEE Member $450 $525 $
Non-Member (Registration Only) $525 $625 $
Non-Member (Registraton + Half-Year IEEE/IT Society Membership) $550 $650 $
IEEE Student/Life Member $150 $200 $
TOTAL $          
r Please check here if you require special accommodations to fully participate.  Attach detailed description of your needs.
INSTRUCTIONS FOR PAYMENT OF REGISTRATION FEES
METHOD OF PAYMENT: o Visa o  Master Card o  American Express o Diners Club   
                     
Card Number   Exp. Date
                          /
Name as it appears on Credit Card
Authorized Signature              
r MAKE CHECKS (drawn on a US bank in US Dollars) PAYABLE TO: IEEE/ISIT01
r WIRE TRANSFER - To insure proper credit to the account, you MUST specify on the transfer: (1) Conference Bank Name: Fleet Bank Boston, Massachusetts, USA, (2) Bank Account #: 8459001469, (3) Bank Account Name: IEEE Conference Management Services, and (4) ABA#: L011 000 138
SPECIAL INSTRUCTIONS: Be sure to add appropriate wire transfer charges to the Registration Fees being transferred in order to avoid an outstanding balance.  To insure proper credit to your account, you MUST SPECIFY in the WIRE TRANSFER "TRANSACTION DESCRIPTION" area, the CONFERENCE and ATTENDEE NAME.  Upon completion of the transfer, attach a copy of the transfer RECEIPT to a copy of your registration and provide it to this office.  THESE INSTRUCTIONS MUST BE FOLLOWED IN ORDER TO APPLY PAYMENT ACCURATELY TO YOUR FEES.
Please Return Completed Registration Form With Payment To:
ISIT Registrar, C/O IEEE Conference Management Services
445 Hoes Lane, P.O. Box 1331, Piscataway, NJ 08855-1331, USA
Tel: +1 732 562 3870 Fax: +1 732 465 6447  e-mail: ISIT01reg@ieee.org