Advanced Registration Deadline is May 25

Please print this form and FAX or send the form with your info and payment to the address at the bottom of this form.

First Name:__________________________ Last Name:______________________________

Affiliation:__________________________________________________________________

Address:_____________________________________________________________________

City:_____________________________ State/Province:_____________________________

Country:_____________________________ Zip Code:_______________________________

E-mail:______________________________ Phone: _________________________________

Fax:________________________________ IEEE member number:______________________

Workshop registration fees: (Please check all that apply)

	By May 25, 2002	After May 25, 2002
IEEE member	$400______________	$480______________
Non-IEEE member	$500______________	$600______________
Full-time student	$200______________	$240______________
Tutorials (All three sessions)	$50______________	$60______________

Extra Banquet Tickets _____ @ $50.00 ea = $ ___________ Vegetarian?_____

Add up your above charges, and enter the total due below, payable in US dollars. Payment can be made with Visa, MasterCard, Amex, Check (payable to IEEE WECWIS 2002) or Money Order.  Please note that your credit card payment will be handled by "IEEE" for WECWIS 2002.

Total Due: US $ ________________

Payment Method: Check_____ Visa______ MasterCard______ American Express_______

Card Number: ___________________________ Exp Date (MM/YY): ________________

Name on card: ____________________________ Signature: ___________________________

FAX or mail your form with check to the following address:
Ms. Jean Liu
1740 E. Garry Ave, #212
Santa Ana, CA 92705, USA
Phone: 949-833-9679 ext 125
Fax: 949-833-9479
Email: jliu@redsonic.com