ASME 2014 International Mechanical Engineering Congress & Exposition

ASME 2014 International Mechanical Engineering Congress & Exposition
November 14 – 20, Montreal, Quebec, Canada
REGISTRATION FORM
Registration Rules & Policies
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ALL Congress participants must register and pay the appropriate fee. This includes: authors; presenters; chairs; co-chairs; topic and
session organizers and general attendees. (To see what is included in each fee, visit the IMECE 2014 website and click on the
Registration menu.)
Students who are Presenters MUST email to ASME-Verify@smart-reg.com a copy of a valid student ID along with the registration
number within 24 hours after registering. Once ID is received and validated, an email confirmation will be sent.
Students who are Attendees do not need to email their IDs in advance, but will be asked to show the ID when checking in onsite.
The non-member fees include a one-year membership to ASME.
Refund requests for conference attendees MUST be submitted in writing to IMECE@smart-reg.com. Once the request is approved, a
refund, less a $100 administrative fee, will be applied to the same method of payment used for the registration. The deadline to request a
refund is November 3, 2014. No refund request will be accepted after this day. NO EXCEPTIONS! For presenters’ refund policy, see
Requirements for Presenters.
PART I: Registrant Information
First (Given) Name: ________________________________ Last (Family) Name: ____________________________________
Affiliation: ________________________________________ Job Title: _____________________________________________
Address: ______________________________________________________________________________________________
City: _________________________ State: _______________ Zip/Postal Code: __________ Country: ___________________
Phone: ________________________ Mobile Phone: _________________________ Email: ____________________________
Name of Emergency Contact: ___________________________ Phone # of Emergency Contact: ________________________
□Check this box if you have any disability needs. We will contact you.
□Check this box to opt out of mailings
PART II: Registration Profile
How did you hear about our conference?
□ASME e-blast
□Program Brochure
□ASME website
□Tradeshow (please specify below)
□Publication ad (please specify below)
___________________________________________________________
□Other (please specify)
Is this your first time attending this conference?
□Yes
□No
What is your age range?
□21 – 30
□31 – 40
□41 – 50
□51 – 60
What is your highest level of education?
□Undergraduate
□Graduate
□Doctorate
□60+
□Post-Doctorate
How many years of experience do you have in your industry?
□Less than 1 year
□1 – 5 years
□6 – 10 years
□11 – 20 years
Which of the following category does your organization belong?
□Aerospace, Auto
□Chemical and Allied Products
□Government/Regulatory Agent □Laboratory (National or Other)
□Manufacturing
□Oil and Gas Extraction
□Pharmaceutical
□Utilities
□Fabricated Materials
□Machinery except Electrical
□Petroleum Refinery
□Other
□Over 20 years
How many employees does your organization employ?
□Less than 100
□100 – 500
□More than 500
Which trade publication do you read? _______________________________________________________________________
Which technical websites do you visit? ______________________________________________________________________
PART III: Registration Categories and Fee. PLEASE ONLY SELECT ONE CATEGORY
PRESENTER – FULL CONFERENCE
Early Bird (before 8/4)
ASME Member, Life Member, Non-Member
□$705
ASME Student Member, Student Non□$515
Member
I have read and agree to the “Requirements for Presenters.” □Yes
ATTENDEE – FULL CONFERENCE
Early Bird (before 8/4)
□$705
ASME Member or Cooperating Society
Member
ASME Life Member
Non-ASME Member
ASME Student Member
Non-ASME Student Member
Advance (8/5–11/9)
□$755
□$150
□$860
□$300
□$350
Onsite (after 11/9)
□$855
□$150
□$910
□$300
□$350
□$150
□$1010
□$450
□$500
ATTENDEE – ONE DAY
Select Day:
□Monday
□Tuesday
□Wednesday
□Thursday
Early Bird (before 8/4) Advance (8/5–11/9)
N/A
□$450
ASME Member or Cooperating Society
Member
Non-ASME Member
N/A
Onsite (after 11/9)
□$550
□$550
□$650
OTHER REGISTRATION CATEGORIES
Committee Meeting only
Guest
Old Guard Competition Participant
IAM3D Competition Participant
Student Design Competition Participant
ASME Student Undergraduate Design Expo
Early Bird (before 8/4)
□No charge
□$75
□No charge
□No charge
□No charge
□$100
Advance (8/5–11/9)
□No charge
□$75
□No charge
□No charge
□No charge
Onsite (after 11/9)
□No charge
□$75
Registration Fee Total: ______
ADDITIONAL BREAKFAST AND LUNCH PURCHASES
Please note: breakfast and lunch are already included in Full and One-Day registration categories
Breakfast ($35/person)
Lunch ($50/person)
□Monday
□Monday
□Tuesday
□Tuesday
# of Tickets
Total
□Wednesday
□Wednesday
□Thursday
Breakfast package (Monday –
Wednesday). $100/person
Lunch package (Monday –
Thursday). $190/person
Additional Meals Total: _____
ADDITIONAL TICKETED ITEMS
# of Tickets
Total
Guest Tour: Come and Discover Our Beautiful City! (Sunday, 11/16) ($68)
Guest Tour: The Richelieu Valley & The Apple Region (Monday, 11/17) ($78)
Guest Tour: Flavourful Montreal (Tuesday, 11/18) ($78)
Technical Tour: Bell Helicopter (Tuesday, 11/18) ($25)
Technical Tour: Manufacturing Labs of NRCC (Wednesday,11/19) ($25)
- Automation/Robotics,
- Composites Products,
- Material Removal,
- Metallic Products (forming/joining)
Technical Tour: Bombardier Challenger Facility (Thursday, 11/20) ($25)
Members & Students Luncheon (Sunday, 11/16) ($60)
- 50% off for student with approved student ID
Presidents Luncheon (Monday, 11/17) ($60)
Honors Dinner (Monday, 11/17) ($85)
Heat Transfer Division Honors & Awards Luncheon (Tuesday, 11/18) ($40)
Guest Luncheon sponsored by the ASME Auxiliary (Tuesday, 11/18) ($40)
Applied Mechanics Dinner (Tuesday, 11/18) ($90)
Additional Ticketed Items Total: _____
0
GRAND TOTAL: (registration fee + additional meals + additional ticketed items) __________
PART IV: Payment Information and Policy
PAYMENT POLICY: Registration without payment WILL NOT be processed
Please select the type of payment:
□Check
□Credit Card
□Wire Transfer
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If paying by check, please make check payable to “ASME IMECE 2014.” Send check and completed registration form
to:
IMECE 2014 Registration
c/o SMART-reg International, Inc.
990 San Antonio Road
Palo Alto, CA 94303-4917
USA
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If paying by credit card, please complete the section below and mail to the above address, fax to (650) 565-9300, or
email to IMECE@smart-reg.com
Select credit card type:
□AMEX
□MasterCard
□Visa
□Discover
Card Number: _______________________________________________Expiration Date: _______________________
Cardholder Name: ______________________________________________________________________________________
Billing Address: ________________________________________________________________________________________
City: _________________________ State: _______________ Zip/Postal Code: __________ Country: ___________________
CSV Code (credit card cannot be processed without this code): ________________
Cardholder Signature: _________________________________________________
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If paying by wire transfer, please mail the completed form to the above address, fax to (650) 565-9300, or email to
IMECE@smart-reg.com. Once received, wire transfer information will be emailed to you.