ILA-33
OnLine
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Online Registration Form
International Loran Association
33rd Annual Convention and Technical Symposium
October 25-27, 2004 -- Tokyo, Japan
This form is processed
using a secure server to protect credit card and personal information.
Please visit the Meeting
2004 Call for Papers on www.loran.org for hotel information.
ILA Operations Center
741 Cathedral Pointe Lane
Santa Barbara, CA 93111
USA
805-967-8649 / fax 805-967-8471
/ [email protected]
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| Title
(Mr. Ms., Dr.) |
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| Name
*
(required) |
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| ILA
Member? |
No Yes,
I am a paid-up member. Member Number (if known): |
| E-mail
address * |
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| Title/
Affiliation |
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| Mailing
Address |
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| City: |
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| State
or Province |
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| Postal
Code / ZIP |
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| COUNTRY |
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| Telephone |
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| Fax |
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| Spouse
/ Guest Name |
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| Registration
and Fees: Credit card payment is preferred. Wire transfer services are
available. However, you must contact the ILA Operations Center prior
to
each fund transfer to insure that account information is transferred. If
paying by check, the check must be in U.S. funds, drawn on a U.S. bank,
payable to the International Loran Association.
Registration Fee Refund Policy: 50%
refund if cancellation is received in writing before September 25, 2004.
No refunds after September 25, 2004.
Special Needs: Contact the ILA Operations
Center. |
Registration
fee = US $455 for ILA members, US $455 for non-members. Fee
includes all technical sessions, receptions, hosted luncheons, banquet,
and a CD copy of the Proceedings.
All attendees
enter $455 $
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| One-day
fee = US $182 -- Includes daily sessions, Proceedings, and lunch
Enter $182
per day attending $
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Guest
fee = US $182 -- Includes receptions and banquet. Does not include
technical sessions
Enter $182
per participating guest $
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Booth and/or
Display = US $68 -- Additional information is available.
Contact the ILA operations
Center at [email protected].
Enter $68
per exhibit space $
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GAUSS Registration
= US $36 -- Monday, October 25, 2004..
Two half-day sessions held
at the convention hotel.
Enter $36
per participant $
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Wire
Transfer Fee = US $45 -- For wire transfers, contact the
ILA Operations Center
at [email protected]
before registering or initiating the transfer. Thank you.
Enter $45 for wire-transfer
$
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*
TOTAL:
Enter total in U.S. Dollars $
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Credit card payment: (If
paying by check, print this form and mail along with your check. )
* Credit
Card:Visa MasterCard
(required for online registration)
*
Credit Card Number:
Enter all 16 digits with no dashes or spaces.
(e.g. 1111222233334444).
(Required for online registration)
* Expiration
Month /Year:
/
(required)
* Name
exactly as it appears on the credit card (required
for credit card registrants)
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Notes!
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Use your
browser to print the form before submitting it, to retain a copy of your
input.
You will receive
e-mail confirming your submission.
Credit card information
will not be sent by e-mail.
Your browser
may warn you that the data you have entered is not secure.
This is an internal
error. Your information is protected.
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Finish!
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Submits
the data to ILA. Clears the form
without submitting.
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Error?
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You
should see a "Thank You!" page when your form has been submitted. If not,
please contact [email protected] to let
us know that your registration may contain errors.
If
you discover after submitting that your form contains an error, please
contact the Operations Center at [email protected]
and describe the error.
Then,
correct or re-write the form and resubmit.
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