IEEE 802.16 Session #75 Registration Form

Registration Form:
IEEE 802.16 Session #75

Use this form to register for IEEE 802.16 Session #75 (19-22 September 2011 in Bangkok, Thailand) and the co-located session of the IEEE 802.21 Working Group.

(1) Provide information about yourself:

Please spell correctly. Please capitalize correctly.
Please make sure the two name fields are in the correct order.
Please spell your name consistently from session to session. Otherwise, you will not receive proper participation credit toward your Working Group membership.

Family Name:	(known as "Last Name" to some people)
Given Name:	(known as "First Name" to some people)
Affiliation:
Department and/or position:
Address Line 1:
Address Line 2:
City:
State/Province:	(USA/Canada/Korea only)
Other District (overwrites "State/Province"):
Postal Code:
Country:
Telephone:	(always start with country code)
E-Mail:

(2) Select the action you wish to take:

Register for the Session. The registration fee for the session is payable on-site at the registration desk. The fee is THB13,500 through 19 August 2011 AOE. Afterwards, the fee becomes THB16,000. Please cancel your registration immediately if your plans change!

Cancel registration for the Session

(3) Please answer the following:

Which Working Group is your primary interest for this session? 802.16 802.21

Will you attend the Wednesday night social event? No Yes

Will you bring a family member to the Wednesday night social event? No Yes

(4) Comments:

Confirmation:

Upon submission, you should see a web page confirming successful receipt or notifying you of any errors. If your submission is successfully received, you should receive an email confirmation. To definitively confirm your registration, see the real-time registration list.

Confidentiality:

Your name, organization, and city will be posted on the publicly-available web site. Detailed contact information for Working Group members is made available to other Members and Observers.

Updated: 2011-07-26