ICAM 2008  July 16 - 18, 2008

College of Engineering and Applied Science

Western Michigan University,

Kalamazoo, Mi, USA

Conference Registration Form                                        

(Please type or print clearly and fill all information)

Name Badge and Mailing Information (use a separate form for each person)

 

Name                           ________________________________________ 

Badge Name                ________________________________________ (this name will appear on your name

                                                                                                                                                                                                badge)

Title                             ________________________________________

Department/Unit          ________________________________________

Institution/Organization           ________________________________________

Mailing Address           ________________________________________

City                              _________________________  State/Prov.  ____________________ 

Postal Code                  _______________     

Work Phone                 ____________________     Fax  ____________________   

 E-mail                         _________________________________  (confirmation will be send via Email)

 

Conference Registration

                                                                                        Early Bird                              Regular                  On-site               Registration

                                                                                (by 06/15)                         (after 06/15)                                             Amount Enclosed

Member ISAM*                                                              $280                                       $350                     $380                     $ _____

Non-member *(presenting authors)                             $280                                       $350                     $380                     $ _____

Non-members*                                                                $300                                       $370                     $385                     $ _____

Student**                                                                         $90                                         $160                     $180                     $ _____

One Day Only** ___ Wed___ Thurs  ___ Fri           $120                                       $160                     $180                     $ _____

Conference Cocktail and Dinner Reception              $55                                         $60                       $65                       $ _____

Group registration and special requirements contact organizers.

* Cocktail and Dinner Reception included

**Cocktail and Dinner Reception are NOT included

 

Method of Payment

 

___ Credit card          ___ Check

(U.S. funds only payable to Western Michigan University)

 

Charge my   ___ Visa     ___ Mastercard

Card #  ____________________________

Expiration Date  _______________

Name as it appears on the card  ____________________

Signature  ____________________________________

 

                                  Total  $ __________

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Fax (269-276-3353) or mail this form and payment to:

Pre-Conference Workshops (contact organizers for details)

 
Industrial Manufacturing Department,
College of Engineering and Applied Science

Western Michigan University,
Kalamazoo, MI, 49008-5336, USA