May 15, 2007 Chicago EMC MiniSymposium

Attendee Registration Form

Name            _______________________________
Company     _______________________________
Address       _______________________________
City               _____________ St_____ Zip________
Phone           ___ - ___ - _____ Fax ___ - ___ - ____
e-mail           __________________________________ 

Can we e-mail IEEE EMC Society meeting notices to you?  Yes ____  No ____

Registration fee (Includes lunch)   
Special meal / needs____________________________
IEEE Membership number (all grades) _______________     $35           _____
IEEE Non-member                                                                            $45            _____
Student ID Number__________ University______________ $15           _____

Payment by Credit card
Type________   Number ___________________________ Exp ____ Bank____________
Name and mailing address as on credit card
________________________
________________________
________________________
________________________
Signature (required) __________________________ Date ___________
Fax completed application to Ray Klouda, at 630-495-9785

Payment by check             (Checks must be received by May 11, 2007) 
Make check payable to:  IEEE EMC Society

Mail check to                      Elite Engineering
                                              Attn:  IEEE EMC Society MiniSymposium
                                              1516 Centre Circle
                                              Downers Grove, IL 60515

Holiday Inn Hotel Accommodations 
Please note the Holiday Inn has a package discount for the hotel.  Contact the hotel, 630-773-2340, ask for Patti Crick, and she will offer the package discount for the room.  The deadline for hotel reservations is soon, so call early, and reserve your room!  Yes, the hotel has a pool, exercise room, and restaurant.