Register for International Workshop
on Advanced Issues of E-Commerce and
Web-based Information Systems (WECWIS'99)
(Santa Clara, California, April 8-9, 1999)
First Name:____________________________________________
Last Name:____________________________________________
Affiliation:____________________________________________
Address:____________________________________________
____________________________________________
City:____________________________________________
State/Provice: ______________ Country:_____________
Zip/Code: __________ Email:____________________
Phone: ______________ Fax:____________________
IEEE Number: _________________ Vegetarian?________
REGISTRATION Fee By 20 March After 20 March
IEEE Member $300 $375
Regular $325 $400
Full-Time Student $200 $250
Extra Banquet Tickets _____ @ $50.00 ea = $ ________
Total: Add up your above charges, and enter the total
due below, payable in US dollars. The total fee
below is the amount you will be charged on your
credit card, if one is used. Enter the card type,
number, expiration date, and your name as it
appears on the card.
Payment can me made with Visa, MasterCard, Check
or Money Order.
Total Due: US $ _______ Payment Method: _______
Card Number: _____________ Exp Date (MM/YY): _______
Name on card: _______________________________________
Signature: ________________________________________
Email, FAX or mail your form to the following address:
Kwei-Jay Lin
Dept ECE
University of California, Irvine
Irvine, CA 92697-2625
Fax: 1-949-824-2321
Email: klin@uci.edu
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