A-SSCC 2005

Online Advance Registration Form

November 1-3, 2005
Ambassador Hotel,
Hsinchu, Taiwan

Online advance registration will be available until Oct. 24, 2005 23:59 (GMT+0800).

Please complete ALL information below to ensure that your registration will process correctly.

Required fields are marked by an *

Personal Information
Email Address (Confirmation letters will be sent via e-mail)*
*Password
*Retype Password
*First Name
*Last Name
*Affiliation/Organization/Company
Job Title
*Address
City		State/Province
Zip/Postal Code		*Country
*Telephone Number		Fax Number
*IEEE Membership Status	Member Non-member IEEE Student Non-IEEE Student
Member Number	(Please attach proof of your status)
Paper number	(the paper you are presenting)

Cancellation Policy

Before September 25, 2005: Payments will be refund less a NT$ 2,500 proceeding and handling fee.
After September 25, 2005: No Refund.
One copy of proceedings will be sent to the registrant after the conference.
Your confirmation will be e-mailed to you.

*I agree to the cancellation policy above. Yes No

If you have any questions regarding your registration, or you need to cancel your registration or need to communicate with us please e-mail the registrar at asscc@itri.org.tw; or call +886-3-5912728 or write to: Veronica Hsiao, H200, STC/ITRI, Rm. 100, Bldg. 9, 195 Sec. 4, Chung Hisng Rd. Chutung, Hsinchu, Taiwan 310, R.O.C.