REGISTRATION FORM
IEEE Oregon Section IEEE 802.11 WLAN TECHNOLOGY SEMINAR THURSDAY, APRIL 25, 2002

NOTE: ADVANCE REGISTRATION RECEIPT DEADLINE IS APRIL 17, 2002
WORKSHOP HELD AT STE 102, KINGSTAD MEETING CENTER AT WESTGATE PLAZA, BEAVERTON, OR 
DOORS OPEN 8:00 AM, WORKSHOP STARTS AT 8:30 AM

NAME: __________________________________

COMPANY: _______________________________

ADDRESS: _______________________________

CITY: __________________________________

STATE: ________    ZIP: _____________

EMAIL: ________________________________

PHONE: ________________________________

IEEE MEMBER #: ______________________

___ I WANT A VEGETARIAN LUNCH 

IEEE MEMBERS: $225.00 BEFORE APRIL 17; $275 AFTER APRIL 17 ________ 

NON-MEMBERS:  $275.00 BEFORE APRIL 17; $325 AFTER APRIL 17 ________

TOTAL $$   ________  PAID BY: 

Checks (made out to "IEEE Oregon Section") or credit cards (Visa, MC, AMEX)
accepted. Sorry NO purchase orders. 

For credit cards, we need cardmember name, address or email for confirmation,
phone, credit card # including 3-4 digit ID code from back, expiration date 
and signature. [NOTE: CREDIT CARD PROCESSING BY ELECTRONIC CONVENTIONS INC]

* CHECK ENCLOSED: ____

* CREDIT CARD: #______________________________ EXPIRATION DATE: ____________
  (incl ID code from back)

   SIGNATURE (REQUIRED): _____________________________________

FAX TO 503-246-0577 OR MAIL FORM TO:

	IEEE 802.11 SEMINAR
	IEEE OREGON SECTION
	PO BOX 2253
	PORTLAND, OR 97208-2253

NOTE: The registration fee includes one copy of the lecture notes, 802.11 Handbook, 
continental breakfast, breaks, and lunch. The organizing committee reserves the 
right to substitute speakers, restrict size, change venues, or to cancel the 
seminar. In the event the seminar is canceled by the organizing committee, 
registration fees only will be fully refunded.  Individuals canceling their 
registration prior to April 12 will receive a full refund.  No refunds will be 
made to individuals who cancel their registration after April 12.  Attendance 
is limited.  Registration will be confirmed on a first come, first served basis.