RegistRation foRm - AIAA SciTech 2015

Transcription

RegistRation foRm - AIAA SciTech 2015
PLEASE SELECT CONFERENCE BELOW:
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5-9 January 2015
Kissimmee, Florida
q AIAA Modeling and Simulation Technologies Conference
q 17th AIAA Non-Deterministic Approaches Conference
q 56th AIAA/ASCE/AHS/ASC Structures, Structural
Dynamics, and Materials Conference
q 8th Symposium on Space Resource Utilization
q 33rd Wind Energy Symposium
23nd AIAA/AHS Adaptive Structures Conference
2nd AIAA Spacecraft Structures Conference
53rd AIAA Aerospace Sciences Meeting
AIAA Atmospheric Flight Mechanics Conference
AIAA Infotech @ Aerospace
AIAA Guidance, Navigation, and Control Conference
Registration form (or register online at www.aiaa-scitech.org/register)
All registrants please complete the information below. SCITECH15
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Conference Badge Name
First/Given Name
M.I.
Last/Family Name
Job Title/Rank
E-mail Address
Address
Daytime Phone Number State
Country/Zip/Postal Code
Fax Number (include country code)
If you are registering as a student, indicate the following:
Degree Type (BS, MS, PhD, etc.)___________________________________________________________
Field of Study (AE, ME, EE, etc.)_________________ Expected Graduation Date___________________
Name of Institution______________________________________________________________________
AIAA Membership: If you are registering at the full conference rate, included with your
registration fee is one year of AIAA membership. Sign below, then visit www.aiaa.org and click on
My AIAA to update your contact information. Those paying the group rate do not reserve membership
or membership renewal.
q Included in your AIAA membership will be periodic communications about AIAA benefits, products,
and services. Check here if you prefer not to receive membership information via email.
q From time to time, we make member information available to companies whose products or services
may be of interest to you. Check here if you prefer not to have your name and address used for
non-AIAA mailings.
Signature_________________________________________________ Date__________________
q Check here if you are renewing or reinstating your membership. (You must pay full nonmember conference fee.)
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Return Form To:
1) For fastest, easiest 2) By mail: return completed
3) By fax: send the signed,
service, register form with payment to completed form with
online at AIAA credit card payment to
www.aiaa-scitech.org/register ATTN: Lynne David703.264.7657
1801 Alexander Bell Drive, Suite 500
Reston, VA 20191-4344
Registration forms must be received by 22 December 2014 to receive the early-bird rate. Registration forms
cannot be processed without full payment.
Cancellations must be received in writing no later than 22 December 2014. There is a $100 cancellation
fee. Registrants who cancel beyond this date or fail to attend will forfeit the entire fee. For questions, contact
Lynne David at 703.264.7503 or lynned@aiaa.org.
Early Standard 23 December 2014–9 January 2015
By 22 December 2014
Member Member
Conference Discount Conference Discount Option 1: FULL CONFERENCE with online proceedings
q $1270 q $800 q $1270 q $1150
Includes sessions Monday–Friday, One Recognition Lunch (either Tuesday or
Thursday), Tuesday reception in the Exhibit Hall, Wednesday lunch in the Exhibit
Hall, and single-user access to the online conference proceedings.
Option 2: Full-time underGraduate student
q $120 q $65
q $120 q $95
Includes sessions and exhibit participation only (excludes food functions and
conference proceedings).
Option 3: Full-time Graduate or Ph.D. Student
q $225 q $170 q $225
q $200
Includes sessions and exhibit participation only (excludes food functions and
conference proceedings).
Option 4: Full-time retired (Aiaa member only)
N/A q $350
N/A q $475
Includes sessions Monday–Friday, Tuesday reception in the Exhibit Hall, Wednesday
lunch in the Exhibit Hall. Does not include proceedings.
Option 5: Two Day continuing education course (includes full
conference registration)
q Aircraft and Rotorcraft System Identification
q Fundamentals and Applications of Modern Flow Control
q Best Practices in Wind Tunnel Testing
q $1670 q $1200
q $1670 q $1550
Includes sessions Monday–Friday, One Recognition Lunch (either Tuesday or
Thursday), Tuesday reception in the Exhibit Hall, Wednesday lunch in the Exhibit
Hall, and single-user access to the online conference proceedings.
Option 6: one Day continuing education course
q Introduction to Integrated Computational Materials Engineering
(Includes full conference registration)
q $1470 q $1000
q $1470 q $1350
Includes sessions Monday–Friday, One Recognition Lunch (either Tuesday or
Thursday), Tuesday reception in the Exhibit Hall, Wednesday lunch in the Exhibit
Hall, and single-user access to the online conference proceedings.
Option 7: One day rate: $350
q Monday q Tuesday q Wednesday q Thursday q Friday
Includes sessions for that day only. Tickets may be purchased separately.
Option 8: Workshop
q $260 q $260 q $360
q $360
Includes workshop participation only. Conference registration is not included.
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q Check here if you need to make special arrangements due to a disability.
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Form of Payment
Attach requirements on a separate sheet of paper.
AIAA Member No.______________________________________
q Purchase Order
q Travelers Check
Extra Tickets
Monday Associate Fellows Dinner
Tuesday Recognition Lunch
Tuesday Reception/Exhibit Hall
Wednesday Lunch/Exhibit Hall
Thursday Recognition Lunch Online Proceedings
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$125 No. of tickets_____________
$60 No. of tickets_____________
$80 No. of tickets_____________
$64 No. of tickets_____________
$60 No. of tickets_____________
$220 No. of copies_____________
q American Express q Check
q VISA
q MasterCard
q Wire Transfer q Diners Club
Credit Card Number:__________________________________ Expiration Date: _________ Month ________Year
Signature:___________________________________________________________________________________
Email address of cardholder for receipt: ________________________________________________________
Total Due: $ ____________________
Register on Our Web Site: www.aiaa.org/scitech2015aab
Select “Register Now” to access the secure online registration form. Use credit card only.
Follow the steps for registration.
Please note that photographs and video taken by or on behalf of AIAA of event activities and attendees shall be the property of AIAA. By registering for this event, you consent to
the use by AIAA of any photograph or video in which you appear, including for promotional purposes, in print, digital, or other format, without notice or compensation to you.
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—Registration Options—
All registrants must provide a valid ID (driver’s license or passport) when they
check in. For student registration, valid student ID is also required.
Organization Name/Division/Mailstop
City
Select your registration options below. Payment by check, credit card,
or money order—payable to AIAA—must accompany registration. To
pay the member rate, your membership must be in good standing.