JOINT IEEE 802.1, 802.11 AND 802.15
INTERIM MEETING REGISTRATION FORM
SEPTEMBER 18-22, 2000
HOSTED BY MOTOROLA

First Name: Last Name:
Badge Name:   (If different from your first name)
Phone #: Fax #:
Co/Org: Email:
Address: Mailstop:
City: State/Prov.:
Country: Postal/Zip:

Is this the first time you have registered for an IEEE 802 meeting?   Yes    No  

Are you providing new or updated address information?   Yes    No  

Which Working Group's meetings are you planning to attend? (check all that apply)

  802.1       802.11       802.15    

Will you be staying at the Radisson Resort and Spa?  Yes    No  

If no, please provide a telephone # where we can reach you:

The Meeting Registration Fee is $300.00 US (subject to change).

This fee includes: continental breakfast, coffee service (AM+PM), lunch and a Wednesday evening social event. Please note: No part of this fee is refundable.

Warning! This is not a secure server! If you are concerned about the security of your credit card information, please send in this form via fax!

Credit Card Type:   AMEX    VISA    MASTERCARD    DISCOVER    ONFILE 
Credit Card Number:     Expiration Date: /

Should we keep your credit card information on file?   Yes  No

If you prefer to register by fax, please fill in ALL of the requested information,
then print this page out and fax it to:

IEEE 802-Motorola Meeting
c/o Face To Face Events, Inc.
Attn: Dawn Slykhouse
Tel: (408) 241-8906
Fax: (408) 241-8918
Email: 802info@ieee.org

Cancellation Policy: There is no fee to cancel at this time. If you are unable to attend, we would appreciate it if you could please notify use prior to the start of the meeting (no later than 1:00 pm PDT, September 15, 2000).

Please check all of your entries carefully, and click     Want to start over? Click here.