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					                                                                         The 4th International Conference on
                                                                         Intelligent Environments IE08
                                                      21 – 22 July 2008; University of Washington, Seattle, USA
                                                                                   Author Registration Form
                                                              One form per person only (forms may be photocopied)

                                                           REGISTRATION (Please complete in CAPITALS)

Conditions of Booking                                    Family Name _________________________________                           Title (Mr, Mrs, Miss etc) _________

 Application Forms should be completed                   First Name___________________________________                           Job Title _____________________
 and returned to the address below and
 must be accompanied with the correct
 payment. Attendance at the event will only
                                                         Institution of Engineering and Technology Membership No ____________________________
 be confirmed on receipt of the full
 payment.                                                Name of Organisation (for name badge) __________________________________________

All Author registration forms should be received         Address for Correspondence ___________________________________________________
no later than Friday, 16 May 2008 to ensure
that your paper is not withdrawn from the                ___________________________________________________________________________
conference.

Cancellation In the event of cancellation after          Town/City __________________________________________________________________
Friday, 16 May, no refund can be made. The
Institution of Engineering and Technology                Postcode ____________________________________                           Country ______________________
reserves the right to cancel any event. In this
case, the full fee will be refunded unless a
mutually convenient transfer can be arranged.            Contact Telephone ____________________________                          Fax _________________________
Details of event changes or cancellations are
available by phoning                                     Email ______________________________________________________________________
+44 (0)1438 765 657
Name Substitutions are accepted at any time              Do you have any dietary or other requirements? ____________________________________
by fax or email.
Fax: +44 (0)1438 765659                                  How did you hear about this event?
Email: eventscs1@theiet.org
                                                         Flyer in Post    Email     Advert (Institution Publication)     Advert (Other)     The IET Website   Other
Delegates with Special Needs The Institution
of Engineering and Technology aims to offer                 FEES AND CHARGES (Please complete the appropriate box)
fully accessible events to all its delegates.
Please help us to accommodate any individual             The author rate registration fee includes having a maximum of two papers presented at the
needs that you may have by attaching a note to           conference, attendance at the sessions, a copy of the conference proceedings, refreshments,
the registration form. We will contact you to            lunch and attendance at the conference dinner.
discuss this as necessary.

Data Protection - The information that you provide
                                                         Author’s presenting more than two papers must pay the additional paper fee.
to the IET and its associated organisations will be
used to ensure we provide you with products and            AUTHOR REGISTRATION (On or before 16 May 2008)                                                     $       c
services that best meet your needs. This may
include the promotion of specific IET and                  Author Rate                              $415.00
associated organisations products and services by
post and/or electronic means. By providing us with
                                                           Additional Paper Fee                     $300.00
your email address and/or mobile telephone
number you agree that we may contact you by
                                                                                                                                          Total Remittance
electronic means. You can change this preference
at any time by visiting www.theiet.org/my.

The Institution of Engineering and Technology              Paper Serial Number
is not, as a body, responsible for the views or
opinions expressed by individual authors or                Presenting Author
speakers.                                                  Paper Title


 Complete and return this form to:                          PAYMENT DETAILS
 The Institution of Engineering and
 Technology                                              Payment must accompany this registration form. Registration will only be confirmed on receipt of
 Finance Department                                      full payment.
 P O Box 96
 Stevenage
                                                                                  PLEASE NOTE: Payment via Purchase Order is not accepted
 Herts SG1 2SD, UK
 Fax: +44 (0)1438 765 659
                                                         Please indicate the method of payment: Cheque                   Credit Card      BACS
 For all enquiries telephone                             Cheques should be made payable to “IET” and crossed.
 +44 (0)1438 765 648 or email
 eventsa2@theiet.org                                     Credit Card Visa           MasterCard          AMEX           Switch      Issue No _____ Valid from ____/____

                                                          Card Number
The Institution of Engineering and Technology             Expiry Date               M    M    Y     Y
                                                                                                                           CSC (Card Security Code)
is registered as a Charity in England & Wales                                                                          Last 3/4 digits on signature strip
  (no 211014) and Scotland (no SC038698)                  Name of Cardholder

                                                         Full registered address of Cardholder (if different from above) ___________________________
                                                         _______________________________________________ Postcode ____________________
              For office use only :
                   Ref: 12404                            Bank Transfers (BACS) can be made to Barclays Bank Plc, UK Bank, 1 Churchill Place, London, E14
                    F312359                              5HP. USD Account no: 42221333 Sort code: 20-65-82 IBAN GB43BARC 2065 8242 2213 33. A copy of the
        Robotics & Mechatronics Network                  Draft must accompany this form. Delegates must be aware that the Institution is not responsible for any gains or
                                                         losses as a result of fluctuations in the Exchange rate.

				
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