Registration Form

IEEE International Workshop On Embedded Fault-Tolerant Systems

[EFTS'98 Home]

Please print out and send separate forms for each attendee.

IEEE International Workshop On Embedded Fault-Tolerant Systems
May 22-23, 1998, Boston University, Boston, MA

Please print or type

Registrant Information

Name: ________________________________________________________________________
      Last                          First             Middle

Title (circle one): Prof., Dr., Mr., Ms., Mrs.

Affiliation: _________________________________________________________________

Mailing Address: _____________________________________________________________
                 City                     State         Zip        Country

Telephone: _______________________________ Fax: ______________________________

Email: _______________________________________________________________________

Do you have any special needs?: ______________________________________________

Conference Registration

Advance (before May 8, 1998)       Late/On-Site (after May 8, 1998)

  ___ IEEE Member  US$220.00           ___ IEEE Member  US$265.00
  ___ Non-member   US$285.00           ___ Non-member   US$330.00
  ___ Student      US$100.00           ___ Student      US$100.00

Registration Fee:   Workshop: _______________________

              Total Enclosed: _______________________	
Payment must be enclosed. Registrations will not be processed without payment. Please, make checks payable to EFTS'98 Boston. All Payments must be in U.S. Dollars.

Mail registration form with payment to: Volker Strumpen, MIT Lab for Computer Science, 545 Technology Square NE43-218A, Cambridge, MA 02139, Phone: (617) 253-1531, FAX: (617) 253-0415, Email:

Method of Payment

___ Company Check    ___ Travelers Check   ___ Purchase Order

Created: Sat Apr 18 14:13:03 EDT 1998 strumpen